Doctor Name: | DANIEL HARMUTH |
NPI Number: | 1346646114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-BC |
License Number: | 339261 |
Business Practice Address: | 1031 Calypso Dr Lake Ariel, PA - 184368021 |
Business Phone Number: | 2158529474 |
Business Fax Number: | |
Mailing Address: | 1031 Calypso Dr, LAKE ARIEL |
State: | PA |
Postal Code: | 184368021 |
Phone Number: | 2158529474 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2014 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 339261 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |