MS. TERESA MARIE HARVATIN DNP ACNP-BC NPI 1295862126

NPI Information

NPI: 1295862126
Provider Name: MS. TERESA MARIE HARVATIN, DNP, ACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
11234 ANDERSON ST # 1617
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-4200
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MS. Teresa Marie Harvatin, DNP, ACNP-BC is an acute care nurse practitioner in Loma Linda, CA. MS. Teresa Marie Harvatin, DNP, ACNP-BC NPI is 1295862126. 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:

11234 ANDERSON ST # 1617
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-4200
Fax: (909) 558-4200

The NPI 1295862126 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 2/27/2007 and was last updated on 3/17/2018.

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	363L00000X	Nurse Practitioner		103285	MISSOURI	No
2	363LA2100X	Nurse Practitioner	Acute Care	2101	TEXAS	No
3	363LA2100X	Nurse Practitioner	Acute Care	832818	TEXAS	No
4	363LA2100X	Nurse Practitioner	Acute Care	95007639	CALIFORNIA	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	2136771	MEDICAID	LOUISIANA
2	07826512	MEDICAID	MISSISSIPPI

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: 4/28/2024

NPI Synchronization or Removal

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