Healthcare Provider Details

I. General information

NPI: 1992282271
Provider Name (Legal Business Name): LAURIE S HARVEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6850 UPPER BOX ELDER RD
BOX ELDER MT
59521-9073
US

IV. Provider business mailing address

P. O. BOX 134
GILDFORD MT
59525
US

V. Phone/Fax

Practice location:
  • Phone: 406-672-9145
  • Fax:
Mailing address:
  • Phone: 406-672-9145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN231504
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License NumberNUR-RRN-LIC-104926
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberNUR-RN-LIC-104926
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: