MEDICARE: WHITNEY MARIE HARVEY FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71075867A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	71075867A	OTHER	IN	INDIANA PROFESSIONAL LICENSING AGENCY

General Provider Information

NPI Number	:	1083433023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY MARIE HARVEY FNP

Provider Business Mailing Address
First Line	:	274 MONTEREY AVE
Second Line	:
City	:	TERRE HAUTE
State	:	IN
Zip	:	47803-2116
Country	:	US
Telephone Number	:	765-585-6045
Fax Number	:

Provider Business Practice Location Address
First Line	:	2723 S 7TH ST
Second Line	:
City	:	TERRE HAUTE
State	:	IN
Zip	:	47802-3584
Country	:	US
Telephone Number	:	812-232-8164
Fax Number	:	812-234-6391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	10/16/2024

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