Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 233119 | CA |
NPI | 1013006105 |
---|---|
Provider Name | Patricia Monger Harwood |
First Address | Orinda, CA 94563-1129 |
Second Address | Berkeley, CA 94704 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 08/07/2007 |