Harvick, Amy Marie
Harvick, Amy Marie is an sole proprietor health care provider with primary practice located at 1900 Don Wickham Dr , Clermont FL 34711. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Harvick, Amy Marie can be contacted via phone (321) 843-3220.Contact Information
Primary practice address
1900 Don Wickham Dr
Clermont FL 34711
Phone: (321) 843-3220
Fax: (321) 843-3210
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1039112 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | APRN1039112 | Florida |
Profile Details
NPI number | 1962700575 |
---|---|
LBN Legal business name | Harvick, Amy Marie |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 6th, 2011 |
Last updated | Dec 26th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962700575 | NPPES |
Florida | MEDICAID | 104337700 |
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