Provider Demographics
NPI:1003824244
Name:ALIA-HARDING, CATHERINE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:ALIA-HARDING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 PARK BLVD.
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3228
Mailing Address - Country:US
Mailing Address - Phone:727-548-9196
Mailing Address - Fax:727-545-4678
Practice Address - Street 1:931 S HWY 41
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450-6860
Practice Address - Country:US
Practice Address - Phone:352-637-1310
Practice Address - Fax:352-637-0788
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1128152363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY6036OtherBCBS
FL307052200Medicaid
FLY6036OtherBCBS
FLS76128Medicare UPIN
FLY6036YMedicare PIN