Laura Suzanne Havens, RN
Registered Nurse, Case Management in Ft Wainwright, AK. Individual provider (NPI-1).
NPI number1982249884
StatusActive
Last updated in NPPESNov 14, 2019
Details
- NPI
- 1982249884
- Entity type
- Individual (NPI-1)
- Name
- Laura Suzanne Havens
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2019
- Last updated
- Nov 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | 23877 | AK | Yes |
Practice location
1076 Gaffney Rd Stop 7400Ft Wainwright, AK 99703-5001
Phone 907-361-5394 · Fax 907-361-4835
Mailing address
1060 Gaffney Rd Stop 7400Ft Wainwright, AK 99703-5007
Phone 907-361-5394 · Fax 907-361-4835
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