Provider Demographics
NPI:1144297102
Name:HARROLD, BREE (CRNA)
Entity type:Individual
Prefix:
First Name:BREE
Middle Name:
Last Name:HARROLD
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:BREE
Other - Middle Name:
Other - Last Name:BOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:555 N DUKE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2250
Mailing Address - Country:US
Mailing Address - Phone:717-544-5511
Mailing Address - Fax:
Practice Address - Street 1:555 N DUKE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2250
Practice Address - Country:US
Practice Address - Phone:717-544-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN514138L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00007469OtherRR MEDICARE
PA1147554OtherAETNA-HMO
PA50055742OtherCAPITAL BLUE CROSS
PA7272795OtherAETNA-NON HMO
PA2238853000OtherINDEPENDENCE BLUE CROSS
PA50055742OtherKEYSTONE HEALTH PLAN CENTRAL
PA79692OtherGEISINGER
PA001556209OtherHIGHMARK
PA50055742OtherCAPITAL BLUE CROSS