Provider Demographics
NPI:1619369816
Name:HARMON, ELIZABETH CANDEBAT (MSN, APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CANDEBAT
Last Name:HARMON
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:KINBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2601 N HULLEN ST STE 133
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5940
Mailing Address - Country:US
Mailing Address - Phone:504-617-5302
Mailing Address - Fax:504-533-0092
Practice Address - Street 1:2601 N HULLEN ST STE 133
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5940
Practice Address - Country:US
Practice Address - Phone:504-617-5302
Practice Address - Fax:504-533-0092
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT101139363LP0808X
LAAP08224363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health