IndividualActive
Daniel Harris
NPI 1417749474 · Community Health Worker · Providence, RI
Provider details
- NPI number
- 1417749474
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Clinical Medical Laboratory291U00000X
Laboratories
Practice location
570 Broad St Ste 1002
Providence, RI 02907-1479
Phone: (401) 215-7569
Fax: (401) 215-7569
Approximate (ZIP-level) locationGet directions
Mailing address
570 Broad St Ste 1002
Providence, RI 02907-1479
Registry dates
- Enumerated
- 2025-05-17
- Last updated
- 2025-07-27
- Certified
- 2025-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.