Provider Demographics
NPI:1043559396
Name:HARVEY, HEATHER DENISE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:DENISE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2867
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36652-2867
Mailing Address - Country:US
Mailing Address - Phone:251-690-8158
Mailing Address - Fax:251-544-2188
Practice Address - Street 1:248 COX ST
Practice Address - Street 2:SUITE B
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-3303
Practice Address - Country:US
Practice Address - Phone:251-690-8935
Practice Address - Fax:251-690-8931
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0001924-C-NP363LP0808X
AL1-119499363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1063439065OtherNPI SITE GROUP PAYEE NUMBER
AL630000013Medicaid
AL011846OtherMEDICARE GROUP PAYEE NUMBER