Provider Demographics
NPI:1457071045
Name:PAULA HARWOOD PSYCHIATRIC NURSING PRACTITIONER INC
Entity type:Organization
Organization Name:PAULA HARWOOD PSYCHIATRIC NURSING PRACTITIONER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARWOOD MCKENNA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:760-889-0926
Mailing Address - Street 1:7516 MAGELLAN ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-5426
Mailing Address - Country:US
Mailing Address - Phone:760-889-0926
Mailing Address - Fax:
Practice Address - Street 1:7516 MAGELLAN ST
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-5426
Practice Address - Country:US
Practice Address - Phone:760-889-0926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty