Individual
DR. DEBRA ANN HARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-6786
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
041-318278
IL
363L00000X
Nurse Practitioner
073780
IN
363LF0000X
Family Nurse Practitioner
Primary
71005558A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000948411
BCBS MEDPOINT EXPRESS
IN
05
—
201311250
—
IN
Enumeration date
10/12/2012
Last updated
09/02/2016
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