Provider Demographics
NPI:1699498527
Name:HARVIN, LORI ANN (FNP)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:ANN
Last Name:HARVIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 WOODLING WAY
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2835
Mailing Address - Country:US
Mailing Address - Phone:443-829-8395
Mailing Address - Fax:
Practice Address - Street 1:2601 WEST NORTH AVENUE SUITE 131 M
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216
Practice Address - Country:US
Practice Address - Phone:410-951-4188
Practice Address - Fax:410-951-6158
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-26
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR140288363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily