Provider Demographics
NPI:1679912638
Name:HARMAN, THERESA ERIN (LPN)
Entity type:Individual
Prefix:MS
First Name:THERESA
Middle Name:ERIN
Last Name:HARMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 NEVIN RD
Mailing Address - Street 2:
Mailing Address - City:NEWFOUNDLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18445-5007
Mailing Address - Country:US
Mailing Address - Phone:570-676-4310
Mailing Address - Fax:
Practice Address - Street 1:55 NEVIN RD
Practice Address - Street 2:
Practice Address - City:NEWFOUNDLAND
Practice Address - State:PA
Practice Address - Zip Code:18445-5007
Practice Address - Country:US
Practice Address - Phone:570-676-4310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-22
Last Update Date:2013-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN290362164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse