Provider Demographics
NPI:1720393747
Name:HARMON, ARLINE IRIS (RN)
Entity Type:Individual
Prefix:MS
First Name:ARLINE
Middle Name:IRIS
Last Name:HARMON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73-1102 HAMANAMANA ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-9425
Mailing Address - Country:US
Mailing Address - Phone:808-325-0248
Mailing Address - Fax:
Practice Address - Street 1:73-1102 HAMANAMANA ST
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-9425
Practice Address - Country:US
Practice Address - Phone:808-325-0248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 218868163WC1500X
HIRN 21517163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health