Provider Demographics
NPI:1508657255
Name:HARVEY, TRICIA
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1409 HARNESS HORSE LN APT 201
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-3850
Mailing Address - Country:US
Mailing Address - Phone:813-750-2602
Mailing Address - Fax:813-750-2602
Practice Address - Street 1:1409 HARNESS HORSE LN APT 201
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-3850
Practice Address - Country:US
Practice Address - Phone:813-750-2602
Practice Address - Fax:813-750-2602
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL376J00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No376J00000XNursing Service Related ProvidersHomemaker