Healthcare Provider Details

I. General information

NPI: 1710765342
Provider Name (Legal Business Name): LAURA A HARMON APRN-NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 STONE ST
FALLS CITY NE
68355-2663
US

IV. Provider business mailing address

1610 STONE ST
FALLS CITY NE
68355-2663
US

V. Phone/Fax

Practice location:
  • Phone: 999-999-9999
  • Fax:
Mailing address:
  • Phone: 999-999-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number114327
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-81222-012
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: