Healthcare Provider Details

I. General information

NPI: 1588364251
Provider Name (Legal Business Name): LANITA MARIE HARVEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2023
Last Update Date: 03/09/2023
Certification Date: 03/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 O ST NW
WASHINGTON DC
20001-1259
US

IV. Provider business mailing address

PO BOX 93040
WASHINGTON DC
20090-9340
US

V. Phone/Fax

Practice location:
  • Phone: 202-701-1233
  • Fax: 202-265-0927
Mailing address:
  • Phone: 240-723-4869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberRN500005168
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: