Nicosha Shanae Harris, is a
Clinic/center - Community Health based in Milwaukee, Wisconsin. Nicosha Shanae Harris is licensed to practice in * (Not Available) (license number ) and her current practice location is
704 W National Ave Apt 140, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 243-6647.
NPI number for Nicosha Shanae Harris is 1215661061 and her current mailing address is 704 W National Ave Apt 140, Milwaukee, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215661061.
Healthcare Provider's Profile
| Full Name | Nicosha Shanae Harris |
|---|
| Gender | Female |
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| Speciality | Clinic/center - Community Health |
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| Location | 704 W National Ave Apt 140, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215661061
- Provider Enumeration Date: 07/15/2022
- Last Update Date: 07/15/2022
Medical Identifiers
Medical identifiers for Nicosha Shanae Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215661061 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 376K00000X | Nurse's Aide | (Wisconsin) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicosha Shanae Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicosha Shanae Harris,
704 W National Ave Apt 140,
Milwaukee, WI 53204-1742
Ph: (414) 243-6647 | Nicosha Shanae Harris,
704 W National Ave Apt 140,
Milwaukee, WI 53204-1742
Ph: (414) 243-6647 |
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