Healthcare Provider Details

I. General information

NPI: 1164078333
Provider Name (Legal Business Name): TRISHA MARIE HARMS ARNP FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRISHA MARIE DOUVIA

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 01/17/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 SENIOR CIR
MACY NE
68039-4018
US

IV. Provider business mailing address

721 5TH ST SW
LE MARS IA
51031-1847
US

V. Phone/Fax

Practice location:
  • Phone: 402-837-5381
  • Fax:
Mailing address:
  • Phone: 712-540-1186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number112957
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA156097
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: