NPI 1164146650

Regan Elizabeth Havens, NP

Practitioner Family Nurse Practitioner Fort Gratiot, MI

Practice location

Address: 3775 Pollina Ave, Fort Gratiot, MI 48059-4140
Phone: (248) 935-4131

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 4704346339 (MI)

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Registry record

NPI: 1164146650
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2022
Record last updated: 28 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.