Individual
AMY MARIE HARVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1900 DON WICKHAM DR, CLERMONT, FL 34711
(321) 843-3220
(321) 843-3210
Mailing address
1900 DON WICKHAM DR, CLERMONT, FL 34711
(321) 843-3220
(321) 843-3210
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1039112
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN1039112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104337700
—
FL
Enumeration date
03/06/2011
Last updated
12/26/2019
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