MEDICARE: MRS. MONICA MONIQUE 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	251S00000X	Community/Behavioral Health Agency
2	163W00000X	Registered Nurse	789922	TX
3	363LF0000X	Family Nurse Practitioner	F09220579	TX

General Provider Information

NPI Number	:	1629528369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MONICA MONIQUE HARVEY FNP

Provider Business Mailing Address
First Line	:	8923 MEMORIAL CREEK DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-8670
Country	:	US
Telephone Number	:	346-268-2997
Fax Number	:	281-374-7840

Provider Business Practice Location Address
First Line	:	17303 TELEGRAPH CREEK DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-5021
Country	:	US
Telephone Number	:	832-723-2510
Fax Number	:	281-374-7840

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

Provider Enumeration Date	:	10/06/2016
Last Update Date	:	09/17/2022

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