Provider Demographics
NPI:1700679651
Name:HARRIS, CAROL J
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:J
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9962 LORALINDA DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1350
Mailing Address - Country:US
Mailing Address - Phone:513-869-9760
Mailing Address - Fax:
Practice Address - Street 1:9962 LORALINDA DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1350
Practice Address - Country:US
Practice Address - Phone:513-869-9760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician