Provider Demographics
NPI:1245977180
Name:HARMON, MICHELLE ANN
Entity type:Individual
Prefix:MISS
First Name:MICHELLE
Middle Name:ANN
Last Name:HARMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:ANN
Other - Last Name:RICHMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33352 TEAGARDEN RD. LOT 750
Mailing Address - Street 2:
Mailing Address - City:LISBON
Mailing Address - State:OH
Mailing Address - Zip Code:44432
Mailing Address - Country:US
Mailing Address - Phone:234-567-1132
Mailing Address - Fax:
Practice Address - Street 1:33352 TEAGARDEN RD. LOT 750
Practice Address - Street 2:
Practice Address - City:LISBON
Practice Address - State:OH
Practice Address - Zip Code:44432
Practice Address - Country:US
Practice Address - Phone:234-567-1132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide