Audrey Harnish, RN REGISTERED NURSE
Individual provider Active NPI School Registered Nurse · Prescott Valley, AZ
NPI 1154466803 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154466803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN116524 (AZ)
- Practice address
- Humboldt Unified School District #22 Special Srvcs Ofic
8766 East Hwy 69
Prescott Valley, AZ 86314 - Phone
- (928) 759-4028
- Fax
- (928) 759-4030
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN116524 | AZ | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN116524 | AZ | Yes |
Addresses
Primary practice location
Humboldt Unified School District #22 Special Srvcs Ofic
8766 East Hwy 69
Prescott Valley, AZ 86314
Mailing address
7241 E Pinnack Pass Loop
Prescott Valley, AZ 86314
Phone (928) 759-2389
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 688533 | Medicaid | AZ |
Other providers in Prescott Valley, AZ
- Sarah Anne Hansen
- Anna Hanus
- Theresa Harcey
- Sarah Jane Harley
- Olivia Harms
- Abbegail Marie Harris
- Jonathan Harrop
- Jennifer Hartman
- Naomasa Hase
- Tiina Hash
All providers in Prescott Valley, AZ · School Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.