Provider Demographics
NPI:1295618817
Name:HARRIS, ROBERT ARTHUR
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:ARTHUR
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 1:3873 MAPLE ACRES RD
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:24701-5055
Mailing Address - Country:US
Mailing Address - Phone:304-324-8819
Mailing Address - Fax:304-327-0722
Practice Address - Street 1:3873 MAPLE ACRES RD
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:WV
Practice Address - Zip Code:24701-5055
Practice Address - Country:US
Practice Address - Phone:304-327-0722
Practice Address - Fax:304-327-0722
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide