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NPI Code Detail

MEDICARE: SHANTEASHIA HARRIS EL

MEDICARE: SHANTEASHIA HARRIS EL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR245346MD
2363LF0000XFamily Nurse Practitioner333726NY

General Provider Information

NPI Number : 1689727711
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANTEASHIA HARRIS EL
Provider Business Mailing Address
First Line : 10440 LITTLE PATUXENT PKWY STE 300
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3648
Country : US
Telephone Number : 888-731-8994
Fax Number :
Provider Business Practice Location Address
First Line : 10440 LITTLE PATUXENT PKWY STE 300
Second Line :
City : COLUMBIA
State : MD
Zip : 21044-3648
Country : US
Telephone Number : 888-731-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2007
Last Update Date : 01/06/2026

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Directions to “ SHANTEASHIA HARRIS EL ” Practice Location

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