Individual
STEPHANIE R HARNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
800 BEMIDJI AVE N, BEMIDJI, MN 56601-3054
(218) 308-2430
(218) 326-0456
Mailing address
800 BEMIDJI AVE N, BEMIDJI, MN 56601-3054
(218) 308-2430
(218) 326-0456
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
6099
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6099
MN
Other
Enumeration date
08/15/2018
Last updated
04/09/2025
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