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NPI Code Detail

MEDICARE: JAMES ROBERT HARKREADER FNP

MEDICARE: JAMES ROBERT HARKREADER FNP
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
1363LF0000XFamily Nurse Practitioner71129CO
2363LX0106XOccupational Health Nurse Practitioner71129CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1500003970OTHERRAILROAD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417903576
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ROBERT HARKREADER FNP
Provider Business Mailing Address
First Line : 1100 PATTERSON RD
Second Line : PO BOX 62
City : GRAND JUNCTION
State : CO
Zip : 81506-8219
Country : US
Telephone Number : 970-298-2001
Fax Number : 970-298-7042
Provider Business Practice Location Address
First Line : 1100 PATTERSON RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81506-8219
Country : US
Telephone Number : 970-298-2001
Fax Number : 970-298-7042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 04/04/2011

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Directions to “ JAMES ROBERT HARKREADER FNP” Practice Location

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