Provider Demographics
NPI:1568619690
Name:HARMON, TERRY GENEVA (MSN)
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:GENEVA
Last Name:HARMON
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1411 ARNOLD AVE
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:PA
Mailing Address - Zip Code:19001-1603
Mailing Address - Country:US
Mailing Address - Phone:267-426-6882
Mailing Address - Fax:267-426-7385
Practice Address - Street 1:34TH STREET AND CIVIC CENTER BOULEVARD
Practice Address - Street 2:6 NE 66
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4399
Practice Address - Country:US
Practice Address - Phone:267-426-6882
Practice Address - Fax:267-426-7385
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008004363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care