Provider Demographics
NPI:1386453009
Name:HARRIS, SHAWNITA FITZSIMMONS
Entity type:Individual
Prefix:
First Name:SHAWNITA
Middle Name:FITZSIMMONS
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 VARNEY ST SE APT 105
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4319
Mailing Address - Country:US
Mailing Address - Phone:202-910-1074
Mailing Address - Fax:
Practice Address - Street 1:901 VARNEY ST SE APT 105
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4319
Practice Address - Country:US
Practice Address - Phone:202-575-0193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide