Provider Demographics
NPI:1902848138
Name:HARRIS, SHARON EILEEN J (APRN, BC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:EILEEN J
Last Name:HARRIS
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
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Mailing Address - Street 1:PO BOX 113
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:IA
Mailing Address - Zip Code:52135-0113
Mailing Address - Country:US
Mailing Address - Phone:563-423-5557
Mailing Address - Fax:563-423-5557
Practice Address - Street 1:1014 MAIN ST
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IA
Practice Address - Zip Code:52141-9616
Practice Address - Country:US
Practice Address - Phone:563-426-5136
Practice Address - Fax:563-426-5139
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAA-112377363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily