Individual
ANTONETTE LYNN HARVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
62691
ID
363LN0000X
Neonatal Nurse Practitioner
AP60217378
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025904
KRMC L&I GROUP NUMBER
WA
05
—
1073897849
—
WA
Enumeration date
09/28/2011
Last updated
01/20/2025
Update your record
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