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Individual
DERA JOY HARVEY
Active
Individual
DERA JOY HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
13-116112-082
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-78225-082
KS
Other
Enumeration date
05/03/2018
Last updated
02/05/2020
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