Provider Demographics
NPI:1427320860
Name:HARPER, CAROL A (LPN)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:A
Last Name:HARPER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ROBINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ELMIRA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:14903-1549
Mailing Address - Country:US
Mailing Address - Phone:607-734-5078
Mailing Address - Fax:607-734-9382
Practice Address - Street 1:100 ROBINWOOD AVE
Practice Address - Street 2:
Practice Address - City:ELMIRA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:14903-1549
Practice Address - Country:US
Practice Address - Phone:607-734-5078
Practice Address - Fax:607-734-9382
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY157866-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse