Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | ARNP1128152 | FL |
NPI | 1003824244 |
---|---|
Provider Name | Mrs. Catherine Alia-Harding |
First Address | Pinellas Park, FL 33781-3228 |
Second Address | Inverness, FL 34450-6860 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 23/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
307052200 | (05) | FL |
S76128 | (02) | FL |
Y6036 | BCBS (01) | FL |