Provider Demographics
NPI:1689894362
Name:HARMON, VERNA J (CRNP)
Entity Type:Individual
Prefix:MS
First Name:VERNA
Middle Name:J
Last Name:HARMON
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 1:26 BELDEN AVE
Mailing Address - Street 2:#1331
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3353
Mailing Address - Country:US
Mailing Address - Phone:267-471-6184
Mailing Address - Fax:
Practice Address - Street 1:24 STEVENS ST STE G
Practice Address - Street 2:DEPT OF TRAUMA SERVICES
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3852
Practice Address - Country:US
Practice Address - Phone:203-855-3990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004903363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004903OtherCONNECTICUT CRNP LICENSE