BRENDA HARDING FNP-C NPI 1194074179

NPI Information

NPI: 1194074179
Provider Name: BRENDA HARDING, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
22717 S ELLSWORTH RD
SUITE B101
QUEEN CREEK, AZ
ZIP 85142
Phone: (480) 306-5650
Get Directions

Brenda Harding, FNP-C is a family nurse practitioner in Queen Creek, AZ with 12 years of experience. Brenda Harding, FNP-C NPI is 1194074179. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

22717 S ELLSWORTH RD
SUITE B101
QUEEN CREEK, AZ
ZIP 85142-127
Phone: (480) 306-5650
Fax: (480) 986-4300

The NPI 1194074179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 4/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	TAP4673	ARIZONA	No
2	364SF0001X	Clinical Nurse Specialist	Family Health	RN159911	ARIZONA	No
3	363LF0000X	Nurse Practitioner	Family	AP4673	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z169998	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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