Harris, Shanna Tomiko

Harris, Shanna Tomiko is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Harris, Shanna Tomiko can be contacted via phone (757) 668-8959.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-8959
Fax: (757) 668-9848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024166858 Virginia

Profile Details

NPI number 1841225455
LBN Legal business name Harris, Shanna Tomiko
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Nov 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841225455 NPPES
Virginia MEDICAID 010254426
Virginia Other 10007294N

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