Provider Demographics
NPI:1821279977
Name:HARMAN, SANDY KAY (DNP, FNP-BC)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:KAY
Last Name:HARMAN
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 W FRANK AVE
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-3357
Mailing Address - Country:US
Mailing Address - Phone:936-639-7098
Mailing Address - Fax:409-489-9884
Practice Address - Street 1:1201 W FRANK AVE
Practice Address - Street 2:ER
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3357
Practice Address - Country:US
Practice Address - Phone:936-639-7098
Practice Address - Fax:409-489-9884
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX676518363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149727312Medicaid
TXP36950Medicare UPIN
TX289801YLLVMedicare PIN
TX149727312Medicaid