Provider Demographics
NPI:1114212867
Name:HARRIS, ROSEMARIE ELIZABETH (LPN)
Entity Type:Individual
Prefix:MISS
First Name:ROSEMARIE
Middle Name:ELIZABETH
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 HIGH ST
Mailing Address - Street 2:#12A
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4432
Mailing Address - Country:US
Mailing Address - Phone:914-519-8555
Mailing Address - Fax:
Practice Address - Street 1:999 HIGH ST
Practice Address - Street 2:#12A
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4432
Practice Address - Country:US
Practice Address - Phone:914-519-8555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281563-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse