Provider Demographics
NPI:1881257087
Name:HARVEY, ALICE CATHERINE (RN)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:CATHERINE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MEEKER
Mailing Address - State:CO
Mailing Address - Zip Code:81641-3354
Mailing Address - Country:US
Mailing Address - Phone:970-878-9528
Mailing Address - Fax:970-878-0321
Practice Address - Street 1:200 MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:MEEKER
Practice Address - State:CO
Practice Address - Zip Code:81641-3354
Practice Address - Country:US
Practice Address - Phone:970-878-9528
Practice Address - Fax:970-878-0321
Is Sole Proprietor?:No
Enumeration Date:2019-04-15
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1627047163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health