| Doctor Name: | MARY DAM HARVEY |
| NPI Number: | 1023401627 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | AP 60630734 |
| Business Practice Address: | 4627 Alameda Ave University Place, WA - 984666301 |
| Business Phone Number: | 2539881253 |
| Business Fax Number: | |
| Mailing Address: | 4627 Alameda Ave, UNIVERSITY PLACE |
| State: | WA |
| Postal Code: | 984666301 |
| Phone Number: | 2539881253 |
| Fax Number: | |
| NPI Enumeration Date: | 03/06/2015 |
| NPI Last Update Date: | 02/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | AP 60630734 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |