Provider Demographics
NPI:1902137771
Name:HARDEN, TERESA A (MSN, NP)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:A
Last Name:HARDEN
Suffix:
Gender:F
Credentials:MSN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WILLOW ST
Mailing Address - Street 2:SUITE #B
Mailing Address - City:NASHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47448-7031
Mailing Address - Country:US
Mailing Address - Phone:812-988-9327
Mailing Address - Fax:812-988-7323
Practice Address - Street 1:50 WILLOW ST
Practice Address - Street 2:SUITE #B
Practice Address - City:NASHVILLE
Practice Address - State:IN
Practice Address - Zip Code:47448-7031
Practice Address - Country:US
Practice Address - Phone:812-988-9327
Practice Address - Fax:812-988-7323
Is Sole Proprietor?:No
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71002632B363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care