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Individual

MRS. DANA SHAVAY RICHARDSON HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 623-9266
Mailing address
1340 BROAD AVE, SUITE 300, GULFPORT, MS 39501-2404
(228) 575-2703
(228) 575-2710

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R875370
MS

Other

Enumeration date
04/29/2012
Last updated
12/07/2012
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