Provider Demographics
NPI:1669468310
Name:HARVEY, NANCY RUTH (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:RUTH
Last Name:HARVEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8902 E 38TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-6073
Mailing Address - Country:US
Mailing Address - Phone:317-957-2350
Mailing Address - Fax:317-957-2355
Practice Address - Street 1:8902 E 38TH ST STE 500
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-6073
Practice Address - Country:US
Practice Address - Phone:317-957-2350
Practice Address - Fax:317-957-2355
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01038573A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000706096OtherANTHEM
IN100334190Medicaid
IN000000706096OtherANTHEM
IN100334190Medicaid