MEDICARE: MS. PATRICIA LORRAINE HARPS FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	589425	TX

General Provider Information

NPI Number	:	1477799963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA LORRAINE HARPS FNP-C

Provider Business Mailing Address
First Line	:	901 ASCENCION ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79928-9080
Country	:	US
Telephone Number	:	915-852-3328
Fax Number	:	915-852-4246

Provider Business Practice Location Address
First Line	:	901 ASCENCION ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79928-9080
Country	:	US
Telephone Number	:	915-852-3328
Fax Number	:	915-852-4246

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2009
Last Update Date	:	01/05/2009

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