Individual provider · Type 1 NPI
Casandra Harmon
Pediatric Nurse Practitioner · Phoenix, AZ
NPI number
1629829247
Active
Practice location
1919 E Thomas Rd
Phoenix, AZ 85016-7710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2485593 (MN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 337578 (AZ) |
| Pediatric Registered Nurse | 163WP0200X | 332198 (NC) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1629829247
Casandra Harmon's National Provider Identifier is 1629829247, issued on Apr 1, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 30, 2026.