Individual
ROBERT REYNOLDS HARKNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
395 W COUGAR BLVD, STE 803, PROVO, UT 84604-3311
(801) 235-7246
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 472-0886
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6566932-4405
UT
Other
Enumeration date
08/09/2016
Last updated
10/31/2024
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