person
Mr. Michael Louis Havenar, ACNP
Acute Care Nurse Practitioner in Saint Louis, Missouri
NPI 1770723082

Michael Louis Havenar is an Acute Care Nurse Practitioner based in Saint Louis, MO and is specialized in Acute Care. Michael Louis Havenar practices in Saint Louis, MO and has the professional credentials of ACNP. The NPI Number for Michael Louis Havenar is 1770723082 and holds a License No. 2003001555 (Missouri).

The current practice location address for Michael Louis Havenar is 11133 Dunn Rd, Saint Louis, MO and can be reached out via phone at 800-862-9980 and via fax at 314-362-1185.

Location: 11133 Dunn Rd, Saint Louis, MO, 63160-0352
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Provider Profile Details
NPI Number
1770723082
Provider Name
Michael Louis Havenar
Credential
ACNP
Provider Entity Type
Individual
Gender
Male
Address
11133 Dunn Rd, Saint Louis, MO, 63160-0352
Phone Number
800-862-9980
Fax Number
314-362-1185
Provider Enumeration Date
02/26/2009
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
429217300 05 MO
institution
Provider Business Practice Location Address Details
Address
11133 Dunn Rd
City
State
Zip
63136-6163
Phone Number
800-862-9980
Fax Number
314-362-1185
person
Provider Business Mailing Address Details
Address
11133 Dunn Rd
City
State
Zip
63136-6163
Phone Number
800-862-9980
Fax Number
314-362-1185
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
2003001555 (Missouri)
Definition
Definition to come...
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