Provider Demographics
NPI:1710765342
Name:HARMON, LAURA A (APRN-NP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:HARMON
Suffix:
Gender:
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:KS
Mailing Address - Zip Code:66425-9523
Mailing Address - Country:US
Mailing Address - Phone:785-467-3182
Mailing Address - Fax:
Practice Address - Street 1:614 W OAK ST
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:KS
Practice Address - Zip Code:66425-9523
Practice Address - Country:US
Practice Address - Phone:785-467-3182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE114327363L00000X
KS53-81222-012363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner