Harris, Carlethia
Harris, Carlethia is an individual health care provider with primary practice located at 8200 W Silver Spring Dr , Milwaukee WI 53218-2552. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Harris, Carlethia can be contacted via phone (414) 760-3900.Contact Information
Primary practice address
8200 W Silver Spring Dr
Milwaukee WI 53218-2552
Phone: (414) 760-3900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 958 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 99040 | Wisconsin |
Profile Details
NPI number | 1831140664 |
---|---|
LBN Legal business name | Harris, Carlethia |
Credentials | APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 15th, 2006 |
Last updated | Jul 26th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831140664 | NPPES |
Other | 009000261W | HUMANA | |
MEDICAID | 43842500 | HUMANA |
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