Provider Demographics
NPI:1326437161
Name:HARRIS, SHARINA
Entity Type:Individual
Prefix:
First Name:SHARINA
Middle Name:
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 1:673 NOBLE AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-3754
Mailing Address - Country:US
Mailing Address - Phone:330-949-0369
Mailing Address - Fax:
Practice Address - Street 1:673 NOBLE AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-3754
Practice Address - Country:US
Practice Address - Phone:330-949-0369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-16
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6788-S156FX1800X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician