Provider Demographics
NPI:1669650883
Name:HARVEY, SHERRY A (CRNA)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:A
Last Name:HARVEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 SR 6 W
Mailing Address - Street 2:
Mailing Address - City:TUNKHANNOCK
Mailing Address - State:PA
Mailing Address - Zip Code:18657-6149
Mailing Address - Country:US
Mailing Address - Phone:570-836-2161
Mailing Address - Fax:570-836-1938
Practice Address - Street 1:880 SR 6 W
Practice Address - Street 2:
Practice Address - City:TUNKHANNOCK
Practice Address - State:PA
Practice Address - Zip Code:18657-6149
Practice Address - Country:US
Practice Address - Phone:570-836-2161
Practice Address - Fax:570-836-1938
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN316249L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered