Provider Demographics
NPI:1861608523
Name:HARVEY, MICHELE DENISE (RD)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:DENISE
Last Name:HARVEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4390 BOBOLINK DR
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-7537
Mailing Address - Country:US
Mailing Address - Phone:303-663-1529
Mailing Address - Fax:
Practice Address - Street 1:4390 BOBOLINK DR
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-7537
Practice Address - Country:US
Practice Address - Phone:303-663-1529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered