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NPI Code Detail

MEDICARE: NICOLE HARNEY MT-BC

MEDICARE:   NICOLE  HARNEY  MT-BC
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
1225A00000XMusic Therapist

General Provider Information

NPI Number : 1174201164
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE HARNEY MT-BC
Provider Business Mailing Address
First Line : 731 ELLIFFE RD
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23601-4623
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4030 GEORGE WASHINGTON MEM HWY STE C
Second Line :
City : YORKTOWN
State : VA
Zip : 23692-2619
Country : US
Telephone Number : 757-255-8866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 07/10/2023

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Directions to “ NICOLE HARNEY MT-BC” Practice Location

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