Healthcare Provider Details

I. General information

NPI: 1760390843
Provider Name (Legal Business Name): AYSHA HARRIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAMP FOSTER BUILDING 960
FPO AP
96362
US

IV. Provider business mailing address

PSC 80 BOX 15081
APO AP
96367-0053
US

V. Phone/Fax

Practice location:
  • Phone: 98-971-9355
  • Fax:
Mailing address:
  • Phone: 315-646-7488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.425159
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: