| Doctor Name: | ERIC HARRIS |
| NPI Number: | 1033409628 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 12264 |
| Business Practice Address: | 6611 Clyo Rd Centerville, OH - 454592786 |
| Business Phone Number: | 9372088282 |
| Business Fax Number: | |
| Mailing Address: | 1540 John Glenn Rd, DAYTON |
| State: | OH |
| Postal Code: | 45410 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2011 |
| NPI Last Update Date: | 04/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 12264 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |