Desaray Harshman

Individual provider Active NPI Case Manager/Care Coordinator · Ely, NV

NPI 1255765228 · NPPES record last updated Aug 27, 2013

Key facts

NPI
1255765228
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1675 Avenue F
Ely, NV 89301-3500
Phone
(775) 289-1671
Fax
(775) 289-1699
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1675 Avenue F
Ely, NV 89301-3500

Mailing address

1665 Old Hot Springs Rd
Suite 157
Carson City, NV 89706-0782
Phone (775) 687-5162

Other providers in Ely, NV

All providers in Ely, NV · Case Manager/Care Coordinator in Nevada

Sources for this page

Verify at the official NPI Registry.