Provider Demographics
NPI:1285406611
Name:DURAN-HARFORD, NICOLE M
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:M
Last Name:DURAN-HARFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 E LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-3118
Mailing Address - Country:US
Mailing Address - Phone:563-503-2863
Mailing Address - Fax:
Practice Address - Street 1:1016 E LOCUST ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-3118
Practice Address - Country:US
Practice Address - Phone:563-503-2863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA207662376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide