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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOSHA SHANAE HARRIS

Active Sole Proprietor

NICOSHA SHANAE HARRIS is a Community Health Center healthcare provider located in MILWAUKEE, Wisconsin. NPI 1215661061 is currently active in the NPPES registry. Verify at CMS.

Community Health Center · MILWAUKEE, WI

Registration Details

NPI Number
1215661061
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2022 (3.937208512985 yrs)
Last Updated
Jul 15, 2022
Sole Proprietor
Yes

Practice Information

Address
704 W NATIONAL AVE APT 140
MILWAUKEE, WI, 532041742
Browse WI providers · Browse ZIP 53204
Phone
4142436647
Primary Specialty
Community Health Center
261QC1500X
Additional Specialty
Nurse's Aide
Additional Specialty
Community Health Center

Other Community Health Center Providers in MILWAUKEE, WI

Name Credential NPI
EDDIE ELLIS 1972919009
DEONNA RICE 1679426621
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.