Provider Demographics
NPI:1730139817
Name:HARNDEN, AGNES CECILIA (CRNA)
Entity Type:Individual
Prefix:
First Name:AGNES
Middle Name:CECILIA
Last Name:HARNDEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 MANATEE AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8610
Mailing Address - Country:US
Mailing Address - Phone:941-750-0976
Mailing Address - Fax:941-745-2112
Practice Address - Street 1:601 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-8610
Practice Address - Country:US
Practice Address - Phone:941-750-0976
Practice Address - Fax:941-745-2112
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9240648367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered