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NPI Code Detail

MEDICARE: MS. PATRICIA SUE HARM CRNA

MEDICARE: MS. PATRICIA SUE HARM CRNA
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
1163W00000XRegistered Nurse285765.AZ
2367500000XCertified Registered Nurse AnesthetistRN00094959WA
3367500000XCertified Registered Nurse Anesthetist285765AZ
4367500000XCertified Registered Nurse AnesthetistAP30006162WA

General Provider Information

NPI Number : 1184670879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA SUE HARM CRNA
Provider Business Mailing Address
First Line : 920 W COMBS RD APT 66
Second Line :
City : QUEEN CREEK
State : AZ
Zip : 85140-6046
Country : US
Telephone Number : 253-678-5134
Fax Number :
Provider Business Practice Location Address
First Line : 7301 N 16TH ST STE 102
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-5266
Country : US
Telephone Number : 480-420-4027
Fax Number : 602-535-0940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 10/31/2023

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