Individual
BRADFORD J HARNETIAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1414 N VERCLER, BUILDING 1, SPOKANE VALLEY, WA 99216-1092
(509) 928-6383
(509) 926-9420
Mailing address
1414 N VERCLER RD, BUILDING 1, SPOKANE VALLEY, WA 99216-1092
(509) 928-6383
(509) 926-9420
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30001441
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011616
—
WA
Enumeration date
12/21/2006
Last updated
08/01/2011
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