MEDICARE: MRS. TERRI ANN HARASEN APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	9468844	FL
2	363LF0000X	Family Nurse Practitioner	APRN11040295	FL

General Provider Information

NPI Number	:	1023811007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERRI ANN HARASEN APRN

Provider Business Mailing Address
First Line	:	PO BOX 361095
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32936-1095
Country	:	US
Telephone Number	:	321-213-4558
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 W EAU GALLIE BLVD STE 200
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-3166
Country	:	US
Telephone Number	:	321-255-1500
Fax Number	:	321-254-0400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	04/17/2026

Similar Medicare Providers

1740286129 — DR. SHASHIN R DESAI MD
Practice Location Address:

2200 W EAU GALLIE BLVD , STE 200
MELBOURNE, FL
32935-3166

Practice Phone: 321-255-1500
Practice Fax: 321-254-0400

1306842984 — DR. GOPAL GADODIA M.D.
Practice Location Address:

2200 W EAU GALLIE BLVD , STE 200
MELBOURNE, FL
32935-3166

Practice Phone: 321-255-1500
Practice Fax: 321-254-0400

1134194608 — LARRY JACKSON LANDRY MD
Practice Location Address:

2200 W EAU GALLIE BLVD , SUITE 202A
MELBOURNE, FL
32935-3166

Practice Phone: 321-253-1992
Practice Fax: 321-253-1844

1477502391 — MRS. JENNIFER A HANLEY PA-C
Practice Location Address:

2200 W EAU GALLIE BLVD STE 202B
MELBOURNE, FL
32935-3166

Practice Phone: 321-254-7717
Practice Fax: 321-255-2361

1285679209 — DR. TARUN TEWATIA M.D.
Practice Location Address:

2200 W EAU GALLIE BLVD STE 200
MELBOURNE, FL
32935-3166

Practice Phone: 321-253-2900
Practice Fax: 321-435-0100

1881627073 — CORA HEALTH SERVICES INC
Practice Location Address:

2200 W EAU GALLIE BLVD STE 105
MELBOURNE, FL
32935-3166

Practice Phone: 321-255-2818
Practice Fax: 321-409-9905

Directions to “ MRS. TERRI ANN HARASEN APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.