Provider Demographics
NPI:1174707848
Name:HARDER, KATHLEEN JOAN (NP)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:JOAN
Last Name:HARDER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:JOAN
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:308 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WINDOM
Mailing Address - State:MN
Mailing Address - Zip Code:56101-1451
Mailing Address - Country:US
Mailing Address - Phone:507-831-2223
Mailing Address - Fax:507-831-0135
Practice Address - Street 1:308 10TH ST
Practice Address - Street 2:
Practice Address - City:WINDOM
Practice Address - State:MN
Practice Address - Zip Code:56101-1451
Practice Address - Country:US
Practice Address - Phone:507-831-2223
Practice Address - Fax:507-831-0135
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR087683-6363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily