Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 180946 | CA |
NPI | 1063599272 |
---|---|
Provider Name | Mrs. Hannelore Harwood |
First Address | Walnut Creek, CA 94596-5120 |
Second Address | Walnut Creek, CA 94596-5120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PI6812 | (02) | CA |