Harrah, Mary

Harrah, Mary is an individual health care provider with primary practice located at 112 N Buckeye St , Osgood IN 47037-1134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harrah, Mary can be contacted via phone (812) 689-3424.

Contact Information

Primary practice address
112 N Buckeye St Osgood IN 47037-1134
Phone: (812) 689-3424
Fax: (812) 933-5237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71006348A Indiana

Profile Details

NPI number 1326494386
LBN Legal business name Harrah, Mary
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2016
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326494386 NPPES
Indiana MEDICAID 201371400

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