Healthcare Provider Details

I. General information

NPI: 1043779382
Provider Name (Legal Business Name): KATRINA HARRIGER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2019
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 ROUTE 28
BROOKVILLE PA
15825-7159
US

IV. Provider business mailing address

2784 HORMTOWN RD
REYNOLDSVILLE PA
15851-7304
US

V. Phone/Fax

Practice location:
  • Phone: 814-849-3035
  • Fax:
Mailing address:
  • Phone: 814-952-9529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA005307
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberOA005307
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOP007780
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: