Healthcare Provider Details

I. General information

NPI: 1609284744
Provider Name (Legal Business Name): KRISTEN M HARKER CRNP CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 06/08/2020
Certification Date: 06/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 NEW HOLLAND AVE STE 200
LANCASTER PA
17602-2288
US

IV. Provider business mailing address

304 N WATER ST
LANCASTER PA
17603-3374
US

V. Phone/Fax

Practice location:
  • Phone: 717-299-6371
  • Fax: 717-945-1587
Mailing address:
  • Phone: 717-299-6371
  • Fax: 717-945-1587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP021814
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010413
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: