Healthcare Provider Details

I. General information

NPI: 1881257087
Provider Name (Legal Business Name): ALICE CATHERINE HARVEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 MIDLAND AVE. UNIT D
BASALT CO
81621
US

IV. Provider business mailing address

P.O. BOX 2845
EDWARDS CO
81632
US

V. Phone/Fax

Practice location:
  • Phone: 970-235-2001
  • Fax: 303-551-6164
Mailing address:
  • Phone: 970-942-3032
  • Fax: 970-878-0321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN.1627047
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: