Individual
PATRICIA A. HARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DR,NP
Contact information
Practice address
622 W 168TH ST PH 14-C, NEW YORK, NY 10032-3720
(212) 305-0914
(212) 305-4343
Mailing address
PO BOX 27036, NEW YORK, NY 10087-7036
(212) 305-0914
(212) 305-4343
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F018591
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
301859
NY
363LP0200X
Pediatric Nurse Practitioner
381489-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01858873
—
NY
Enumeration date
06/09/2006
Last updated
09/10/2024
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