Provider Demographics
NPI:1386492932
Name:HARAMES, EMILY (FNP)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:HARAMES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1153 N MAIN ST STE B100
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84341-2573
Mailing Address - Country:US
Mailing Address - Phone:385-370-2550
Mailing Address - Fax:435-213-2867
Practice Address - Street 1:1153 N MAIN ST STE B100
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84341-2573
Practice Address - Country:US
Practice Address - Phone:385-370-2550
Practice Address - Fax:435-213-2867
Is Sole Proprietor?:No
Enumeration Date:2024-05-08
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11585231-4405363LF0000X
UT11585231-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse