Michelle Harris, RN
Individual provider Active NPI Registered Nurse · Shaker HTS, OH
NPI 1780153940 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1780153940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 518542 (OH)
- Practice address
- 3665 Winchell Rd
Shaker HTS, OH 44122-5123 - Phone
- (330) 752-3412
- NPI assigned
- Nov 17, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 518542 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 518542 | OH | Yes |
Addresses
Primary practice location
3665 Winchell Rd
Shaker HTS, OH 44122-5123
Mailing address
1917 S Taylor Rd # 1066
Cleveland Heights, OH 44118-2103
Phone (330) 752-3412
Other providers in Shaker HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.