Provider Demographics
NPI:1316033855
Name:HARPER, DJUNA W (ARNP)
Entity Type:Individual
Prefix:
First Name:DJUNA
Middle Name:W
Last Name:HARPER
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 1:3130 SQUALICUM PKWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225
Mailing Address - Country:US
Mailing Address - Phone:360-734-7886
Mailing Address - Fax:360-676-7557
Practice Address - Street 1:3130 SQUALICUM PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-734-7886
Practice Address - Fax:360-676-7557
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30003900363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9617473Medicare ID - Type UnspecifiedDSHS