Provider Demographics
NPI:1194311902
Name:HARVEY, ROBERT CRAIG (RN)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:CRAIG
Last Name:HARVEY
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2412 S 11TH ST
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-2667
Mailing Address - Country:US
Mailing Address - Phone:740-550-4278
Mailing Address - Fax:
Practice Address - Street 1:2412 S 11TH ST
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-2667
Practice Address - Country:US
Practice Address - Phone:740-550-4278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1096155163W00000X
OH290193163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse