Provider Demographics
NPI:1831597038
Name:HARRIS, ROSALIND NORMAN
Entity type:Individual
Prefix:
First Name:ROSALIND
Middle Name:NORMAN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:FRANCE
Other - Middle Name:LOUISE
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19 NEWBY DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-4113
Mailing Address - Country:US
Mailing Address - Phone:757-328-7817
Mailing Address - Fax:
Practice Address - Street 1:19 NEWBY DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-4113
Practice Address - Country:US
Practice Address - Phone:757-328-7817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-21
Last Update Date:2014-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator