Individual
MS. TERESA MARIE HARVATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ACNP-BC
Contact information
Practice address
11234 ANDERSON ST # 1617, LOMA LINDA, CA 92354-2804
(909) 558-4200
(909) 558-4200
Mailing address
11234 ANDERSON ST # 1617, LOMA LINDA, CA 92354-2804
(909) 558-4200
(909) 558-4212
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
103285
MO
363LA2100X
Acute Care Nurse Practitioner
2101
TX
363LA2100X
Acute Care Nurse Practitioner
832818
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
95007639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07826512
—
MS
05
—
2136771
—
LA
Enumeration date
02/27/2007
Last updated
05/06/2025
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