Provider Demographics
NPI:1134128127
Name:HARDING, WILLIAM R (CRNA)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:HARDING
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:423 N 21ST ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2207
Mailing Address - Country:US
Mailing Address - Phone:717-975-2430
Mailing Address - Fax:717-730-2158
Practice Address - Street 1:423 N 21ST ST
Practice Address - Street 2:SUITE 106
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2207
Practice Address - Country:US
Practice Address - Phone:717-975-2430
Practice Address - Fax:717-730-2158
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA038368367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02003102OtherCAPITAL BLUE CROSS
PAR208297OtherHEALTHAMERICA
PA650649OtherHIGHMARK BLUE SHIELD
PA430076631OtherRAILROAD MEDICARE
PA430076631OtherRAILROAD MEDICARE