Individual
ZOE INES OLAVARRI HARVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-PNP
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-6227
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-6227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
24968
TN
363LP0200X
Pediatric Nurse Practitioner
24968
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
F383352-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F383352-01
NYS APRN LICENSE
NY
Enumeration date
10/18/2018
Last updated
09/07/2022
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