Doctor Name: | MS. ANNETTE SMITH HARMAN |
NPI Number: | 1033383328 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 202463-4405 |
Business Practice Address: | 100 North Medical Dr. Slc, UT - 84113 |
Business Phone Number: | 8016621200 |
Business Fax Number: | |
Mailing Address: | Po Box 581289, SLC |
State: | UT |
Postal Code: | 841581289 |
Phone Number: | 8015877450 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2008 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 202463-4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |