Provider Demographics
NPI:1881844595
Name:HARBAUGH, VALARIE LYNN (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:VALARIE
Middle Name:LYNN
Last Name:HARBAUGH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20410 OBSERVATION DR
Mailing Address - Street 2:STE 100
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-6419
Mailing Address - Country:US
Mailing Address - Phone:410-328-2302
Mailing Address - Fax:
Practice Address - Street 1:20410 OBSERVATION DR
Practice Address - Street 2:STE 100
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20876-6419
Practice Address - Country:US
Practice Address - Phone:301-956-2470
Practice Address - Fax:301-330-9108
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDN65150363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS062-0501OtherCAREFIRST
MDS062-0501OtherCAREFIRST