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NPI Code Detail

MEDICARE: MRS. LISA MARIE HARMER I RN, PSYCHIATRIC

MEDICARE: MRS. LISA MARIE HARMER I RN, PSYCHIATRIC
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
1163WP0808XPsychiatric/Mental Health Registered Nurse689839-1NY

General Provider Information

NPI Number : 1891204483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LISA MARIE HARMER I RN, PSYCHIATRIC
Provider Business Mailing Address
First Line : 36 SPEARS ST
Second Line :
City : CANTON
State : NY
Zip : 13617-1237
Country : US
Telephone Number : 315-212-0680
Fax Number :
Provider Business Practice Location Address
First Line : 1003 PARK ST
Second Line :
City : OGDENSBURG
State : NY
Zip : 13669-3911
Country : US
Telephone Number : 315-713-9090
Fax Number : 315-713-9330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2017
Last Update Date : 09/20/2023

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