Individual
CONNIE R HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1451 LUCAS RD, MANSFIELD, OH 44903-8682
(419) 589-5511
Mailing address
1451 LUCAS RD, MANSFIELD, OH 44903-8682
(419) 589-5511
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN247609
OH
Other
Enumeration date
10/25/2019
Last updated
11/27/2023
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