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NPI Code Detail

MEDICARE: MS. CARLETHIA HARRIS APNP

MEDICARE: MS. CARLETHIA HARRIS APNP
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
1363LP0200XPediatric Nurse Practitioner958WI
2363LW0102XWomen's Health Nurse Practitioner99040WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1009000261WOTHERHUMANA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831140664
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARLETHIA HARRIS APNP
Provider Business Mailing Address
First Line : 8200 W SILVER SPRING DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53218-2552
Country : US
Telephone Number : 414-760-3900
Fax Number :
Provider Business Practice Location Address
First Line : 8200 W SILVER SPRING DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53218-2552
Country : US
Telephone Number : 414-760-3900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 07/26/2012

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