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NPI Code Detail

MEDICARE: DR. JULIE A HARRIS C.N.P.

MEDICARE: DR. JULIE A HARRIS C.N.P.
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
1174400000XSpecialistRN-166157OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326097023
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE A HARRIS C.N.P.
Provider Business Mailing Address
First Line : 275 SPRINGSIDE DR STE 100
Second Line :
City : AKRON
State : OH
Zip : 44333-4549
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13951 TERRACE RD
Second Line :
City : EAST CLEVELAND
State : OH
Zip : 44112-4308
Country : US
Telephone Number : 216-761-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 11/21/2007

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