Individual
MR. MARK WESLEY HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-NP
Contact information
Practice address
705 ORLEANS DR, GRAND ISLAND, NE 68803-3409
(308) 398-6063
Mailing address
705 ORLEANS DR, GRAND ISLAND, NE 68803-3409
(402) 845-9203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111016
NE
Other
Enumeration date
04/01/2009
Last updated
07/09/2012
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