Provider Demographics
NPI:1588378160
Name:HARRIS, SHARIA MONEE' (LPN)
Entity type:Individual
Prefix:
First Name:SHARIA
Middle Name:MONEE'
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 W GRAMERCY AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43612-2422
Mailing Address - Country:US
Mailing Address - Phone:419-460-3979
Mailing Address - Fax:
Practice Address - Street 1:928 W GRAMERCY AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43612-2422
Practice Address - Country:US
Practice Address - Phone:419-460-3979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH182496164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse