Healthcare Provider Details

I. General information

NPI: 1720310931
Provider Name (Legal Business Name): HARMONY NAPRAPATHIC P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 02/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 E MAIN ST
FARMINGTON NM
87402-5150
US

IV. Provider business mailing address

PO BOX 1079
FLORA VISTA NM
87415-1079
US

V. Phone/Fax

Practice location:
  • Phone: 505-327-0086
  • Fax: 505-327-3212
Mailing address:
  • Phone: 505-327-0086
  • Fax: 505-327-3212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number0011
License Number StateNM

VIII. Authorized Official

Name: DR. PORTIA DEANNE SYKES
Title or Position: PRESIDENT
Credential: D.N.
Phone: 505-327-0086