Provider Demographics
NPI:1487426573
Name:NORDICK, HARLEY F
Entity type:Individual
Prefix:
First Name:HARLEY
Middle Name:F
Last Name:NORDICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1855 MECHANICSBURG RD APT K5
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2679
Mailing Address - Country:US
Mailing Address - Phone:330-234-1609
Mailing Address - Fax:
Practice Address - Street 1:1855 MECHANICSBURG RD APT K5
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2679
Practice Address - Country:US
Practice Address - Phone:330-234-1609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide