Provider Demographics
NPI:1467805226
Name:HARMON, ASHLEY ANNE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ANNE
Last Name:HARMON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:ASHLEY
Other - Middle Name:ANNE
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1584 D ST
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:WA
Mailing Address - Zip Code:98230-9778
Mailing Address - Country:US
Mailing Address - Phone:605-645-5383
Mailing Address - Fax:
Practice Address - Street 1:709 W ORCHARD DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1766
Practice Address - Country:US
Practice Address - Phone:360-371-5855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61402686363LF0000X
WY1684.1684363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily