Provider Demographics
NPI:1093849721
Name:HARBIN, DENISE A (NP)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:A
Last Name:HARBIN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:100 SENTARA CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-5713
Mailing Address - Country:US
Mailing Address - Phone:757-984-7338
Mailing Address - Fax:757-984-8684
Practice Address - Street 1:120 KINGS WAY
Practice Address - Street 2:SUITE 2700
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-2505
Practice Address - Country:US
Practice Address - Phone:757-221-0110
Practice Address - Fax:757-221-0851
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2017-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024166647363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1093849721Medicaid
VAVAA101966Medicare PIN
VA1093849721Medicaid