Provider Demographics
NPI:1518518695
Name:HARPER, RAYFIELD DAVE (CNA)
Entity Type:Individual
Prefix:MR
First Name:RAYFIELD
Middle Name:DAVE
Last Name:HARPER
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W 3RD ST APT #4
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NC
Mailing Address - Zip Code:27569
Mailing Address - Country:US
Mailing Address - Phone:919-348-7245
Mailing Address - Fax:
Practice Address - Street 1:410 W 3RD ST APT #4
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NC
Practice Address - Zip Code:27569
Practice Address - Country:US
Practice Address - Phone:919-348-7245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-20
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider