Provider Demographics
NPI:1972831840
Name:STEVA HARLEY, MICHELLE LYNNE (NURSE AIDE)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:LYNNE
Last Name:STEVA HARLEY
Suffix:
Gender:F
Credentials:NURSE AIDE
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:LYNNE
Other - Last Name:STEVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 60954
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89160-0954
Mailing Address - Country:US
Mailing Address - Phone:702-505-0545
Mailing Address - Fax:702-685-4472
Practice Address - Street 1:1800 N GREEN VALLEY PKWY
Practice Address - Street 2:APT. 1511
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-5817
Practice Address - Country:US
Practice Address - Phone:702-505-0545
Practice Address - Fax:702-685-4472
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCNA014618376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide