Healthcare Provider Details

I. General information

NPI: 1033550173
Provider Name (Legal Business Name): CURTIS CLIFFORD HARVIE APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24091 W LONG LAKE RD
WILLOW AK
99688-0519
US

IV. Provider business mailing address

PO BOX 1178
WILLOW AK
99688-1178
US

V. Phone/Fax

Practice location:
  • Phone: 802-999-5136
  • Fax:
Mailing address:
  • Phone: 802-999-5136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number108838
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number108838
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: