Provider Demographics
NPI:1841493764
Name:HARMAN, NANCY WALTERS (CNM)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:WALTERS
Last Name:HARMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 CALLICUTT RD
Mailing Address - Street 2:
Mailing Address - City:BEAR CREEK
Mailing Address - State:NC
Mailing Address - Zip Code:27207-8275
Mailing Address - Country:US
Mailing Address - Phone:919-837-5805
Mailing Address - Fax:919-837-5759
Practice Address - Street 1:1108 CALLICUTT RD
Practice Address - Street 2:
Practice Address - City:BEAR CREEK
Practice Address - State:NC
Practice Address - Zip Code:27207-8275
Practice Address - Country:US
Practice Address - Phone:919-837-5805
Practice Address - Fax:919-837-5759
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC304367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7002026Medicaid