Individual
STACEY MICHELLE HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7584 OLIVE BLVD, SUITE 210, SAINT LOUIS, MO 63130-1600
(314) 203-9349
(314) 480-7069
Mailing address
7584 OLIVE BLVD, SUITE 210, SAINT LOUIS, MO 63130-1600
(314) 203-9349
(314) 480-7069
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2000156514
MO
Other
Enumeration date
01/25/2012
Last updated
12/28/2015
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