MEDICARE: TOMARSHA HARRISON

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	376K00000X	Nurse's Aide	401585621113	OH

General Provider Information

NPI Number	:	1871365015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOMARSHA HARRISON

Provider Business Mailing Address
First Line	:	6017 CAPRI DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2721
Country	:	US
Telephone Number	:	513-602-4933
Fax Number	:

Provider Business Practice Location Address
First Line	:	6017 CAPRI DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45224-2721
Country	:	US
Telephone Number	:	513-602-4933
Fax Number	:

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

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	10/23/2023

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Directions to “ TOMARSHA HARRISON ” Practice Location

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