Doctor Name: | DEBRA HARVEY |
NPI Number: | 1003141623 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | SO003153D |
Business Practice Address: | 295 Buck Rd Suite 105 Holland, PA - 189661733 |
Business Phone Number: | 2153221919 |
Business Fax Number: | 2153222875 |
Mailing Address: | 101 E Olney Ave, Suite 400 PHILADELPHIA |
State: | PA |
Postal Code: | 191202421 |
Phone Number: | 2152542630 |
Fax Number: | 2152542599 |
NPI Enumeration Date: | 10/15/2009 |
NPI Last Update Date: | 10/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | SO003153D |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |