Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NJ01052600 | NJ |
NPI | 1518575232 |
---|---|
Provider Name | Catherine Harvey |
First Address | Toms River, NJ 08755-6423 |
Second Address | Toms River, NJ 08755-6423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2020 |
Last Update Date | 28/09/2020 |