Doctor Name: | SHAWNDELL HARRIS |
NPI Number: | 1073931531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 463911090 |
Business Practice Address: | 1545 Crossways Blvd Ste 250 Chesapeake, VA - 233200205 |
Business Phone Number: | 7577773971 |
Business Fax Number: | 7577773972 |
Mailing Address: | 1545 Crossways Blvd Ste 250, CHESAPEAKE |
State: | VA |
Postal Code: | 233200205 |
Phone Number: | 7577773971 |
Fax Number: | 7577773972 |
NPI Enumeration Date: | 04/02/2014 |
NPI Last Update Date: | 04/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | 463911090 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |