Provider Demographics
NPI:1568470482
Name:HARRIS, CARA M (APRN-CNP)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:M
Last Name:HARRIS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-257-3048
Mailing Address - Fax:614-685-0343
Practice Address - Street 1:181 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1779
Practice Address - Country:US
Practice Address - Phone:614-257-3048
Practice Address - Fax:614-685-0343
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN241827207RE0101X
OHAPRN.CNP.05235363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2083909Medicaid
OH2083909Medicaid