Provider Demographics
NPI:1295304970
Name:HARVARD, SUMMER
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:HARVARD
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 1:1806 N WESTWOOD AVE APT 1806
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43607-1281
Mailing Address - Country:US
Mailing Address - Phone:313-479-8900
Mailing Address - Fax:
Practice Address - Street 1:1806 N WESTWOOD AVE APT 1806
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43607-1281
Practice Address - Country:US
Practice Address - Phone:313-479-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty