Provider Demographics
NPI:1568835205
Name:HARVEY, SHELLEY AMBER
Entity Type:Individual
Prefix:MRS
First Name:SHELLEY
Middle Name:AMBER
Last Name:HARVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 KENYON AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-1669
Mailing Address - Country:US
Mailing Address - Phone:401-663-8882
Mailing Address - Fax:
Practice Address - Street 1:202 KENYON AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02861-1669
Practice Address - Country:US
Practice Address - Phone:401-663-8882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-03
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife