Provider Demographics
NPI:1043582075
Name:HARRIS, ALISHA LASHAWN
Entity Type:Individual
Prefix:
First Name:ALISHA
Middle Name:LASHAWN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 17TH ST NE
Mailing Address - Street 2:2
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-7641
Mailing Address - Country:US
Mailing Address - Phone:202-344-0409
Mailing Address - Fax:
Practice Address - Street 1:1014 17TH ST NE
Practice Address - Street 2:2
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7641
Practice Address - Country:US
Practice Address - Phone:202-344-0409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide