Provider Demographics
NPI:1013086628
Name:HARTHUN, NANCY LYNN (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNN
Last Name:HARTHUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 6TH AVE STE 116A
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2627
Mailing Address - Country:US
Mailing Address - Phone:717-850-0600
Mailing Address - Fax:717-893-5315
Practice Address - Street 1:1600 6TH AVE STE 116A
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-2627
Practice Address - Country:US
Practice Address - Phone:410-200-7415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4465702086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2727526OtherHIGHMARK BLUE SHIELD
PA102741943Medicaid
PA1598553OtherGATEWAY
PA30138266OtherAMERIHEALTH MERCY-WMG
MD411018802Medicaid
PA102741943Medicaid
PA1598553OtherGATEWAY
MD411018802Medicaid