Provider Demographics
NPI:1063628642
Name:HARVEY, MARGARET B (PHD, APRN-BC, ACNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:B
Last Name:HARVEY
Suffix:
Gender:F
Credentials:PHD, APRN-BC, ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 BRACKEN TRL
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-4418
Mailing Address - Country:US
Mailing Address - Phone:901-481-5571
Mailing Address - Fax:
Practice Address - Street 1:1211 UNION AVE
Practice Address - Street 2:SUITE 475
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-6638
Practice Address - Country:US
Practice Address - Phone:901-274-2643
Practice Address - Fax:901-726-4237
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5894363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP85486Medicare UPIN