Provider Demographics
NPI:1619210358
Name:HARRIS, BARIKA SHAWNEE (ARNP)
Entity type:Individual
Prefix:
First Name:BARIKA
Middle Name:SHAWNEE
Last Name:HARRIS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:BARIKA
Other - Middle Name:SHAWNEE
Other - Last Name:BRIDGES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 25317
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-5317
Mailing Address - Country:US
Mailing Address - Phone:813-286-0033
Mailing Address - Fax:813-282-1806
Practice Address - Street 1:83 W MILLER ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2031
Practice Address - Country:US
Practice Address - Phone:218-415-2813
Practice Address - Fax:407-648-9879
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9272865207V00000X
FLAPRN9272865363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology