Provider Demographics
NPI:1598097503
Name:HARPER, NANCY V (RN REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:V
Last Name:HARPER
Suffix:
Gender:F
Credentials:RN REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11752 HUNTS CORNERS ROAD
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NY
Mailing Address - Zip Code:14433
Mailing Address - Country:US
Mailing Address - Phone:315-923-1229
Mailing Address - Fax:315-879-7042
Practice Address - Street 1:11752 HUNTS CORNERS ROAD
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NY
Practice Address - Zip Code:14433
Practice Address - Country:US
Practice Address - Phone:315-923-1229
Practice Address - Fax:315-879-7042
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-02
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308630163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse