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HARBOR HEALTH LLC NPI 1477012805


NPI Information

NPI: 1477012805
Provider Name: HARBOR HEALTH, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 02D2168489

Address:
2201 DUNN ST STE 1
JUNEAU, AK
ZIP 99801
Phone: (334) 796-6969
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HARBOR HEALTH, LLC is a family nurse practitioner in Juneau, AK. HARBOR HEALTH, LLC NPI is 1477012805. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2201 DUNN ST STE 1
JUNEAU, AK
ZIP 99801-480
Phone: (334) 796-6969

The provider's authorized official is Brandon Marie Sale .
The authorized official title is Owner/aprn and has the following contact phone number (334) 796-6969.

The CLIA number assigned to this NPI record is 02D2168489 - other practitioner with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/15/2019 and was last updated on 3/15/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11881115723OTHERNPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.