Basic Information
| Provider Information | |||||||||
| NPI: | 1962612788 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HARMS | ||||||||
| FirstName: | TERESA | ||||||||
| MiddleName: | FAYE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4035 BURNETT-WOMACK | ||||||||
| Address2: | CB#7081 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997082 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199668436 | ||||||||
| FaxNumber: | 9199668440 | ||||||||
| Practice Location | |||||||||
| Address1: | 4035 BURNETT WOMACK | ||||||||
| Address2: | CB#7081 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997082 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199668436 | ||||||||
| FaxNumber: | 9199668440 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2007 | ||||||||
| LastUpdateDate: | 10/14/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 500-4481 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LA2200X | 00241652 | VA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.