MEDICARE: BETHANY LEIGH HARR FNP-BC

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	SP023076	PA

General Provider Information

NPI Number	:	1598341364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETHANY LEIGH HARR FNP-BC

Provider Business Mailing Address
First Line	:	2815 MCCLINTOCK RD
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-2738
Country	:	US
Telephone Number	:	412-773-1673
Fax Number	:

Provider Business Practice Location Address
First Line	:	2815 MCCLINTOCK RD
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-2738
Country	:	US
Telephone Number	:	412-773-1673
Fax Number	:

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

Provider Enumeration Date	:	03/22/2021
Last Update Date	:	09/23/2024

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