Provider Demographics
NPI:1326404922
Name:HARVEY, REBECCA (DNP)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2806 N 1450 W
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-9047
Mailing Address - Country:US
Mailing Address - Phone:650-208-2542
Mailing Address - Fax:801-224-4914
Practice Address - Street 1:361 E 1200 S STE 201
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-6904
Practice Address - Country:US
Practice Address - Phone:801-224-3014
Practice Address - Fax:801-224-4914
Is Sole Proprietor?:No
Enumeration Date:2016-01-12
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT368992-4405363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health