Doctor Name: | NANCY HAVILAND |
NPI Number: | 1063508422 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | R041139 |
Business Practice Address: | 12 Union St Rockland, ME - 048412739 |
Business Phone Number: | 2077014477 |
Business Fax Number: | 2077014486 |
Mailing Address: | Po Box 526, ROCKLAND |
State: | ME |
Postal Code: | 048412739 |
Phone Number: | 2077014477 |
Fax Number: | 2077014486 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 03/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0807X |
License Number: | R041139 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
Taxonomy Definition: |