Healthcare Provider Details

I. General information

NPI: 1811299209
Provider Name (Legal Business Name): NANCYANN MARIE HARROD A.R.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2010
Last Update Date: 07/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 W. DRY CREEK CIRLCLE
LITTLETON CO
80120
US

IV. Provider business mailing address

PO BOX 2147
FORT MYERS FL
33902-2147
US

V. Phone/Fax

Practice location:
  • Phone: 303-952-1105
  • Fax: 720-287-3183
Mailing address:
  • Phone: 239-424-1449
  • Fax: 239-424-1421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9248839
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: