Provider Demographics
NPI:1427340983
Name:HARPLEY, JEREMY (CRNA)
Entity type:Individual
Prefix:
First Name:JEREMY
Middle Name:
Last Name:HARPLEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 WAKARUSA DR STE A3
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3889
Mailing Address - Country:US
Mailing Address - Phone:785-856-6170
Mailing Address - Fax:785-856-6171
Practice Address - Street 1:1201 WAKARUSA DR STE A3
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3889
Practice Address - Country:US
Practice Address - Phone:785-856-6170
Practice Address - Fax:785-856-6171
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2270423367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered