Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | UP001578J | PA |
NPI | 1083825236 |
---|---|
Provider Name | Pamela Ann Harris-Haman |
First Address | Middletown, PA 17057-3490 |
Second Address | Drexel Hill, PA 19026-1114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2007 |
Last Update Date | 08/07/2007 |