Individual
MRS. TERRY ELLEN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
621 KELLY RD, CUMBERLAND, MD 21502
(301) 722-3270
(301) 722-3276
Mailing address
109 RAYLOC DR, HANCOCK, MD 21750-1518
(301) 678-5187
(301) 678-5797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R059699
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211828
MEDICARE FQHC
MD
05
—
4825012 01
—
MD
Enumeration date
06/10/2006
Last updated
05/23/2018
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