Provider Demographics
NPI:1780930685
Name:HARRIS, NENA RASHED (FNP-BC, CNM)
Entity type:Individual
Prefix:
First Name:NENA
Middle Name:RASHED
Last Name:HARRIS
Suffix:
Gender:F
Credentials:FNP-BC, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 SPRATT ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-2969
Mailing Address - Country:US
Mailing Address - Phone:704-334-2235
Mailing Address - Fax:
Practice Address - Street 1:534 SPRATT ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-2969
Practice Address - Country:US
Practice Address - Phone:704-334-2235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-28
Last Update Date:2012-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004001363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily