Provider Demographics
NPI:1548510605
Name:HARMONY, ANDREA J (CRNP)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:J
Last Name:HARMONY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 FEDERAL ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103
Mailing Address - Country:US
Mailing Address - Phone:856-583-2415
Mailing Address - Fax:856-541-3340
Practice Address - Street 1:817 FEDERAL ST
Practice Address - Street 2:SUITE 300
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1539
Practice Address - Country:US
Practice Address - Phone:856-583-2415
Practice Address - Fax:856-541-3340
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP012088363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0417262Medicaid