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Contact Information

HARVEST FUNCTIONAL MEDICINE
1942 BROADWAY
BOULDER, CO80302-5213
 Phone: 303-501-4194
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HARVEST FUNCTIONAL MEDICINE · (Female)

NPI # 1477334324
Status Active
Credentials
Entity Individual
Enumeration date 10/06/2023
Last updated 10/06/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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