Provider Demographics
NPI:1427343300
Name:HARRIS, ANA MARIA
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:MARIA
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 1:274 WILLOW SONG CT
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-3961
Mailing Address - Country:US
Mailing Address - Phone:352-406-8413
Mailing Address - Fax:352-589-1341
Practice Address - Street 1:274 WILLOW SONG CT
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-3961
Practice Address - Country:US
Practice Address - Phone:352-406-8413
Practice Address - Fax:352-589-1341
Is Sole Proprietor?:No
Enumeration Date:2011-06-18
Last Update Date:2011-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide