Provider Demographics
NPI:1184371106
Name:HARVEY, MAUREEN ANNE (RN)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ANNE
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 1:1835 S DEFRAME ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-4117
Mailing Address - Country:US
Mailing Address - Phone:303-376-1238
Mailing Address - Fax:
Practice Address - Street 1:1835 S DEFRAME ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-4117
Practice Address - Country:US
Practice Address - Phone:303-376-1238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO71568163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management