Individual
ANGELA GILLIAM HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3581 HOSP N BOX 3094, DURHAM, NC 27710-0001
(919) 681-4337
Mailing address
305 COUNTRY VALLEY CT, APEX, NC 27502-8097
(919) 630-2051
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN 127852
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11439207
CAQH ID#
NC
Enumeration date
05/28/2006
Last updated
10/24/2007
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