Basic Information
Provider Information
NPI: 1306282132
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARMS
FirstName: NATHAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 308 N MAPLE AVE
Address2:  
City: NEW HAMPTON
State: IA
PostalCode: 506591142
CountryCode: US
TelephoneNumber: 6413942151
FaxNumber: 6413941999
Practice Location
Address1: 308 N MAPLE AVE
Address2:  
City: NEW HAMPTON
State: IA
PostalCode: 506591142
CountryCode: US
TelephoneNumber: 6413942151
FaxNumber: 6413941999
Other Information
ProviderEnumerationDate: 05/20/2013
LastUpdateDate: 10/09/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/09/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD-43559IAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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