Doctor Name: | MS. KRISTEN LYNN HAVENS |
NPI Number: | 1417243700 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP |
License Number: | 732626 |
Business Practice Address: | 146 Hwy 32-2a Ashdown, AR - 718228689 |
Business Phone Number: | 8708985525 |
Business Fax Number: | 8708988572 |
Mailing Address: | 146 Hwy 32-2a, ASHDOWN |
State: | AR |
Postal Code: | 718228689 |
Phone Number: | 8708985525 |
Fax Number: | 8708988572 |
NPI Enumeration Date: | 06/24/2011 |
NPI Last Update Date: | 07/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 732626 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |