MEDICARE: ERICA HARSCH MS, CN

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	133N00000X	Nutritionist	NU60810478	WA

General Provider Information

NPI Number	:	1639685936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA HARSCH MS, CN

Provider Business Mailing Address
First Line	:	7220 LINDEN AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5112
Country	:	US
Telephone Number	:	206-799-7010
Fax Number	:	206-866-0204

Provider Business Practice Location Address
First Line	:	7220 LINDEN AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-5112
Country	:	US
Telephone Number	:	206-799-7010
Fax Number	:	206-866-0204

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

Provider Enumeration Date	:	12/21/2017
Last Update Date	:	12/11/2019

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