Provider Demographics
| NPI: | 1568924256 |
|---|---|
| Name: | ELIZABETH TOWNLEYS HARMONY HEALTHCARE LLC |
| Entity type: | Organization |
| Organization Name: | ELIZABETH TOWNLEYS HARMONY HEALTHCARE LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MGR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ELIZABETH |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | TOWNLEY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | ARNP |
| Authorized Official - Phone: | 850-777-7373 |
| Mailing Address - Street 1: | 10941 HOLLY PARK LN |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MOLINO |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 32577-5067 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 850-777-7373 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 12385 SORRENTO RD STE A4 |
| Practice Address - Street 2: | |
| Practice Address - City: | PENSACOLA |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 32507-8656 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 850-213-6522 |
| Practice Address - Fax: | 850-304-0977 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-04-02 |
| Last Update Date: | 2022-06-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Single Specialty |