Individual
CAROL HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 PINE ST, SHADY SPRING, WV 25918-9706
(304) 894-4055
Mailing address
340 PINE ST, SHADY SPRING, WV 25918-9706
(304) 894-4055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
111009
WV
363LG0600X
Gerontology Nurse Practitioner
Primary
111009
WV
Other
Enumeration date
09/22/2022
Last updated
10/27/2022
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