Healthcare Provider Details

I. General information

NPI: 1659237352
Provider Name (Legal Business Name): NORITA HARRIS BS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2025
Last Update Date: 12/27/2025
Certification Date: 12/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 W NC HIGHWAY 54 STE 121
DURHAM NC
27707-5578
US

IV. Provider business mailing address

1415 W NC HIGHWAY 54 STE 121
DURHAM NC
27707-5578
US

V. Phone/Fax

Practice location:
  • Phone: 919-214-2935
  • Fax:
Mailing address:
  • Phone: 919-214-2935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: