=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417861204
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHAELA HARPST NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/30/2026
-----------------------------------------------------
Last Update Date | 09/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 353 MANITOU RD
-----------------------------------------------------
City | HILTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14468-9404
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-998-7813
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 353 MANITOU RD
-----------------------------------------------------
City | HILTON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14468-9404
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LG0600X
-----------------------------------------------------
Taxonomy Name | Gerontology Nurse Practitioner
-----------------------------------------------------
License Number | F313035-01
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------