Healthcare Provider Details

I. General information

NPI: 1417861204
Provider Name (Legal Business Name): MICHAELA HARPST NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 MANITOU RD
HILTON NY
14468-9404
US

IV. Provider business mailing address

353 MANITOU RD
HILTON NY
14468-9404
US

V. Phone/Fax

Practice location:
  • Phone: 716-998-7813
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberF313035-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: