Individual
JUDITH ANNE HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
580 RODEO DRIVE, JACKSON, WY 83001-6721
(307) 690-1981
Mailing address
PO BOX 6721, JACKSON, WY 83002-6721
(307) 690-1981
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3803
WY
385HR2065X
Child Physical Disabilities Respite Care
3803
WY
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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