Provider Demographics
NPI:1104192137
Name:ELIZABETH TOWNLEYS HARMONY HEALTH
Entity Type:Organization
Organization Name:ELIZABETH TOWNLEYS HARMONY HEALTH
Other - Org Name:ELIZABETH TOWNLEYS HARMONY HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNLEY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:850-777-7373
Mailing Address - Street 1:10979 HOLLY PARK LN
Mailing Address - Street 2:
Mailing Address - City:MOLINO
Mailing Address - State:FL
Mailing Address - Zip Code:32577-5067
Mailing Address - Country:US
Mailing Address - Phone:850-777-7373
Mailing Address - Fax:
Practice Address - Street 1:10979 HOLLY PARK LN
Practice Address - Street 2:
Practice Address - City:MOLINO
Practice Address - State:FL
Practice Address - Zip Code:32577-5067
Practice Address - Country:US
Practice Address - Phone:850-777-7373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2862482363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty