Mark Daniel Harrison, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN331136L Issued in PA

Practice address

1721 S Allen St
State College, PA 16801-5918

Phone

(717) 648-7663

NPI assigned

Dec 21, 2021

Last updated

Dec 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1104586999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 S ALLEN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015918",
            "telephone_number": "717-648-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 S ALLEN ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015918",
            "telephone_number": "717-648-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN331136L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "RN331136L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Brynn Harper, DPT
• Heather Le Harpster, MS, RD, LDN
• Brian P. Harr
• Harris Mental Health LLC
• Kara Harris
• Payton Alyssa Harrison, LCSW
• Julie Ann Hart, PA-C
• Hannah Lise Hartswick, MS, LPC, CCTP
• Katherine Terese Harvatine, OD
• Haitham Noureldin Hassane, RPI

• Registered Nurse in State College, PA
• Providers in State College, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.