Provider Demographics
NPI:1194383588
Name:HARVEY, ROBBI K (NP-C)
Entity Type:Individual
Prefix:
First Name:ROBBI
Middle Name:K
Last Name:HARVEY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:ROBBI
Other - Middle Name:K
Other - Last Name:CONOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1055 N 500 W
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-3305
Mailing Address - Country:US
Mailing Address - Phone:801-354-8225
Mailing Address - Fax:801-418-0941
Practice Address - Street 1:770 S HIGHWAY 99
Practice Address - Street 2:
Practice Address - City:FILLMORE
Practice Address - State:UT
Practice Address - Zip Code:84631-5033
Practice Address - Country:US
Practice Address - Phone:435-253-8000
Practice Address - Fax:801-655-5213
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-31
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5128511-4405363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT5128511-8900OtherCONTROLLED SUBSTANCE
UT5128511-4405OtherSTATE LICENSE