Misty Lynn Dehaven, APN

NPI #1003384603 in Rockford, Illinois

Provider Information

NPI Number
1003384603
Entity Type
Individual
Name
Misty Lynn Dehaven, APN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
APN
Enumeration Date
Nov 13, 2018
Last Updated
Feb 26, 2019

Practice Location

Address
1639 N ALPINE RD STE 260
ZIP Code
61107-1481
Phone
(815) 395-1500

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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