Healthcare Provider Details

I. General information

NPI: 1326437161
Provider Name (Legal Business Name): SHARINA HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2015
Last Update Date: 03/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

673 NOBLE AVE
AKRON OH
44320-3754
US

IV. Provider business mailing address

673 NOBLE AVE
AKRON OH
44320-3754
US

V. Phone/Fax

Practice location:
  • Phone: 330-949-0369
  • Fax:
Mailing address:
  • Phone: 330-949-0369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number6788-S
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: