Individual
MS. NICOLE HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11734 N 15TH ST APT 11, TAMPA, FL 33612-5422
(813) 505-0652
Mailing address
11734 N 15TH ST APT 11, TAMPA, FL 33612-5422
(813) 505-0652
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5181443
FL
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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