Provider Demographics
NPI:1588086763
Name:HARMONOSKY, TARA M (CRNP)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:M
Last Name:HARMONOSKY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN TOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707-1025
Mailing Address - Country:US
Mailing Address - Phone:570-855-2972
Mailing Address - Fax:
Practice Address - Street 1:1000 STACIE DR
Practice Address - Street 2:
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201-5690
Practice Address - Country:US
Practice Address - Phone:570-417-8660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013250363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1588086763OtherNPI