Provider Demographics
NPI:1356300966
Name:HARSHBARGER, HELEN CORI (CRNP)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:CORI
Last Name:HARSHBARGER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GUTHRIE SQ
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1625
Mailing Address - Country:US
Mailing Address - Phone:570-888-5858
Mailing Address - Fax:
Practice Address - Street 1:1 GUTHRIE SQ
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-1625
Practice Address - Country:US
Practice Address - Phone:570-888-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP003885B363L00000X
NYF331563-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC8362OtherRR MEDICARE GROUP
PACC9269OtherRR MEDICARE GROUP
NYP00379067OtherRR MEDICARE PIN
PAGU039818OtherMEDICARE GROUP
NY02174752Medicaid
PA500026571OtherRR MEDICARE PIN
PAGU039818OtherMEDICARE GROUP
NYP00379067OtherRR MEDICARE PIN
S79221Medicare UPIN
NY02174752Medicaid