Individual
MICHELLE MARIE HARMON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
WOMENS HEALTH CARE N
Contact information
Practice address
208 W CASABLANCA CANNON AFB, BLDG 1400 27 MEDICAL GROUP, CLOVIS, NM 88103-5014
(505) 784-6608
(505) 784-6028
Mailing address
208 W CASABLANCA CANNON AFB27, BLDG 1400 27 MEDICAL GROUP, CLOVIS, NM 88103-5014
(505) 784-6608
(505) 784-6028
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN244354
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11101
ACNM CERTIFICATION COUNCI
—
Enumeration date
10/03/2005
Last updated
07/08/2007
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