Individual
PATRICIA SUZANNE HARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
PO BOX 310, FENTON, MI 48430-0310
(719) 641-8950
Mailing address
PO BOX 310, FENTON, MI 48430-0310
(719) 641-8950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704144818
MI
363LF0000X
Family Nurse Practitioner
Primary
4704144818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08285845
—
CO
Enumeration date
05/26/2007
Last updated
06/20/2024
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