Provider Demographics
NPI:1326062555
Name:HARKER, NATHAN L (CRNP)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:L
Last Name:HARKER
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 VALLEY VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-4548
Mailing Address - Country:US
Mailing Address - Phone:814-941-3388
Mailing Address - Fax:814-941-3279
Practice Address - Street 1:2005 VALLEY VIEW BLVD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4548
Practice Address - Country:US
Practice Address - Phone:814-941-3388
Practice Address - Fax:814-941-3279
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN245186L163W00000X
PAVP004195B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARN 245186LOtherRN LICENSE
PAVP004195BOtherCRNP LICENSE