Provider Demographics
NPI:1093794257
Name:HARMAN, DEBRA LYNN (MD, FAAFP)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:LYNN
Last Name:HARMAN
Suffix:
Gender:F
Credentials:MD, FAAFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5785 CENTENNIAL CENTER BLVD. STE. 190
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149
Mailing Address - Country:US
Mailing Address - Phone:702-383-6270
Mailing Address - Fax:702-395-3023
Practice Address - Street 1:5785 CENTENNIAL CENTER BLVD. STE. 190
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149
Practice Address - Country:US
Practice Address - Phone:702-383-6270
Practice Address - Fax:702-395-3023
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-15
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18843207Q00000X
VA0101052898207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP0042666OtherRAILROAD MEDICARE
VA1093794257Medicaid
TN1529040Medicaid
VA386590OtherANTHEM
VAG49192Medicare UPIN
VAP0042666OtherRAILROAD MEDICARE
TN1529040Medicaid
TN3709285Medicare UPIN
VAC09112Medicare UPIN