MEDICARE: RUMIKO HARKNESS C.R.N.P.

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	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	415342	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	415342	OTHER	CA	NURSE PRACTIONER

General Provider Information

NPI Number	:	1487785093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUMIKO HARKNESS C.R.N.P.

Provider Business Mailing Address
First Line	:	3998 VISTA WAY STE C
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-4514
Country	:	US
Telephone Number	:	760-385-8008
Fax Number	:	760-385-8007

Provider Business Practice Location Address
First Line	:	3998 VISTA WAY STE C
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-4514
Country	:	US
Telephone Number	:	760-385-8008
Fax Number	:	760-385-8007

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	03/17/2018

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Directions to “ RUMIKO HARKNESS C.R.N.P.” Practice Location

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