Provider Demographics
NPI:1164086476
Name:HARRIS, KAREN SHEILA
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SHEILA
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:SHEILA
Other - Last Name:QUANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4200 8TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7206
Mailing Address - Country:US
Mailing Address - Phone:202-840-1314
Mailing Address - Fax:
Practice Address - Street 1:4200 8TH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7206
Practice Address - Country:US
Practice Address - Phone:202-840-1314
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA14371374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide