Provider Demographics
NPI:1861526238
Name:HARVEY, KAREN LOUISE (RN, CCRC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LOUISE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:RN, CCRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 E 28TH ST
Mailing Address - Street 2:SUITE 40
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1139
Mailing Address - Country:US
Mailing Address - Phone:612-863-1661
Mailing Address - Fax:612-863-2490
Practice Address - Street 1:920 E 28TH ST
Practice Address - Street 2:SUITE 40
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1139
Practice Address - Country:US
Practice Address - Phone:612-863-1661
Practice Address - Fax:612-863-2490
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR154488-2163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse