Provider Demographics
NPI:1245932565
Name:HARRIS, AMBER KIANA (MA)
Entity type:Individual
Prefix:MISS
First Name:AMBER
Middle Name:KIANA
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 HARRISON AVE APT 22
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-7124
Mailing Address - Country:US
Mailing Address - Phone:513-430-4103
Mailing Address - Fax:
Practice Address - Street 1:2880 HARRISON AVE APT 22
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-7124
Practice Address - Country:US
Practice Address - Phone:513-430-4103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide