Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD446570 | PA |
NPI | 1013086628 |
---|---|
Provider Name | Nancy Lynn Harthun |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403-5024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 06/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102741943 | (05) | PA |
1598553 | GATEWAY (01) | PA |
2727526 | HIGHMARK BLUE SHIELD (01) | PA |
30138266 | AMERIHEALTH MERCY-WMG (01) | PA |
411018802 | (05) | MD |