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NPI Code Detail

MEDICARE: TIMOTHAE HARVEY

MEDICARE: TIMOTHAE HARVEY
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
1163W00000XRegistered NurseRN00127632WA

General Provider Information

NPI Number : 1912866377
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHAE HARVEY
Provider Business Mailing Address
First Line : 1506 E RADIO RD
Second Line :
City : ELLENSBURG
State : WA
Zip : 98926-9589
Country : US
Telephone Number : 509-962-7438
Fax Number :
Provider Business Practice Location Address
First Line : 1506 E RADIO RD
Second Line :
City : ELLENSBURG
State : WA
Zip : 98926-9589
Country : US
Telephone Number : 509-962-7438
Fax Number : 509-925-8450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ TIMOTHAE HARVEY ” Practice Location

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