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Mimi Harzan, MSPA,PA-C
Physician Assistant in Carbondale, Illinois
NPI 1477175446

Mimi Harzan is a Physician Assistant based in Carbondale, IL. Mimi Harzan practices in Carbondale, IL and has the professional credentials of MSPA,PA-C. The NPI Number for Mimi Harzan is 1477175446 and holds a License No. (Illinois).

The current practice location address for Mimi Harzan is 405 W Jackson St, Carbondale, IL and can be reached out via phone at 618-549-0721 and via fax at 618-457-0469.

Location: 405 W Jackson St, Carbondale, IL, 62902-3988
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477175446
Provider Name
Mimi Harzan
Credential
MSPA,PA-C
Provider Entity Type
Individual
Gender
Female
Address
405 W Jackson St, Carbondale, IL, 62902-3988
Phone Number
618-549-0721
Fax Number
618-457-0469
Provider Enumeration Date
05/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
405 W Jackson St
City
Carbondale
State
Illinois
Zip
62901-1462
Phone Number
618-549-0721
Fax Number
618-457-0469
person
Provider Business Mailing Address Details
Address
405 W Jackson St
City
Carbondale
State
Illinois
Zip
62901-1462
Phone Number
618-549-0721
Fax Number
618-457-0469
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085008538 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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