Individual
MS. SUSAN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6290
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
(928) 289-6290
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN102235
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415374
—
AZ
Enumeration date
03/06/2007
Last updated
11/08/2007
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