Provider Demographics
NPI:1205626884
Name:HARLAN, CARA BETH
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:BETH
Last Name:HARLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3807 S 24TH ST APT 9
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-1845
Mailing Address - Country:US
Mailing Address - Phone:531-267-0454
Mailing Address - Fax:
Practice Address - Street 1:3807 S 24TH ST APT 9
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-1845
Practice Address - Country:US
Practice Address - Phone:531-267-0454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide