Individual
MRS. LISA D HARVEY
Active
Individual
MRS. LISA D HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A004393
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07671891
—
MS
05
—
210466758
—
AR
01
—
302I507587
MEDICARE
MS
01
—
431319531
BLUE CROSS BLUE SHIELD
MS
Enumeration date
06/30/2005
Last updated
02/02/2016
Update your record
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