| Doctor Name: | SUSANNE HAVEL |
| NPI Number: | 1255392619 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | A03419 ANP |
| Business Practice Address: | 1090 Arnold Dr Little Rock Afb, AR - 720994933 |
| Business Phone Number: | 5019877245 |
| Business Fax Number: | |
| Mailing Address: | 4314 Amy Ln, JACKSONVILLE |
| State: | AR |
| Postal Code: | 720764266 |
| Phone Number: | 2283650477 |
| Fax Number: | 5019877233 |
| NPI Enumeration Date: | 03/28/2006 |
| NPI Last Update Date: | 02/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | A03419 ANP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |