Healthcare Provider Details

I. General information

NPI: 1114108396
Provider Name (Legal Business Name): ELIZABETH F HARMAN P.A.-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH F SWANSON P.A.-C

II. Dates (important events)

Enumeration Date: 11/16/2007
Last Update Date: 02/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MOUNT EUSTIS RD
LITTLETON NH
03561-3712
US

IV. Provider business mailing address

25 MOUNT EUSTIS RD
LITTLETON NH
03561-3712
US

V. Phone/Fax

Practice location:
  • Phone: 603-444-2464
  • Fax: 603-444-3441
Mailing address:
  • Phone: 603-444-2464
  • Fax: 603-444-3441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0654
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: