Provider Demographics
NPI:1962435511
Name:HARDEN, DANE STEWART (MED, PA-C)
Entity type:Individual
Prefix:MR
First Name:DANE
Middle Name:STEWART
Last Name:HARDEN
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Gender:M
Credentials:MED, PA-C
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Mailing Address - Street 1:381 OAKMONT DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211-3809
Mailing Address - Country:US
Mailing Address - Phone:423-926-1171
Mailing Address - Fax:423-979-3528
Practice Address - Street 1:JAMES H. QUILLEN VA MEDICAL CENTER
Practice Address - Street 2:111 LAMONT STREET
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37684-0000
Practice Address - Country:US
Practice Address - Phone:423-926-1171
Practice Address - Fax:423-979-3507
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2023-09-06
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Provider Licenses
StateLicense IDTaxonomies
TNPA0000000964363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical