Provider Demographics
NPI:1568545564
Name:HARP, MARIA (ARNP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:HARP
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 1:1718 MAIN ST
Mailing Address - Street 2:STE. 302
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-5815
Mailing Address - Country:US
Mailing Address - Phone:941-554-2177
Mailing Address - Fax:941-554-2179
Practice Address - Street 1:1718 MAIN ST
Practice Address - Street 2:STE. 302
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-5815
Practice Address - Country:US
Practice Address - Phone:941-554-2177
Practice Address - Fax:941-554-2179
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1836612363LP0808X
FLARNP 1836612163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY6275XMedicare ID - Type Unspecified
FLS79129Medicare UPIN