MEDICARE: MRS. AATIKA N HARRIS RN

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
1	163W00000X	Registered Nurse	341023	OH

General Provider Information

NPI Number	:	1487887337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AATIKA N HARRIS RN

Provider Business Mailing Address
First Line	:	3378 HARTWOOD RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44112-3028
Country	:	US
Telephone Number	:	216-681-1900
Fax Number	:

Provider Business Practice Location Address
First Line	:	3378 HARTWOOD RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44112-3028
Country	:	US
Telephone Number	:	216-681-1900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2009
Last Update Date	:	08/26/2009

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