Healthcare Provider Details

I. General information

NPI: 1407627722
Provider Name (Legal Business Name): MARGARET COURTNEY HARLOW CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 01/15/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 S MAIN ST
ABERDEEN SD
57401-7071
US

IV. Provider business mailing address

1206 S MAIN ST
ABERDEEN SD
57401-7071
US

V. Phone/Fax

Practice location:
  • Phone: 605-250-1200
  • Fax:
Mailing address:
  • Phone: 605-250-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCP003075
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: