Healthcare Provider Details

I. General information

NPI: 1548406234
Provider Name (Legal Business Name): BARBARA ANNE HARRIS MS, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2008
Last Update Date: 12/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 PHILADELPHIA DR CENTER FOR NURSING EXCELLENCE - OFFICE 2557
DAYTON OH
45406-1813
US

IV. Provider business mailing address

2222 PHILADELPHIA DR CENTER FOR NURSING EXCELLENCE - OFFICE 2557
DAYTON OH
45406-1813
US

V. Phone/Fax

Practice location:
  • Phone: 937-278-2612
  • Fax:
Mailing address:
  • Phone: 937-278-2612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN313453-COA1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: