Havens Family Clinic
NPI #1134249964 in Canon City, Colorado
Provider Information
- NPI Number
- 1134249964
- Entity Type
- Organization
- Organization Name
- Havens Family Clinic
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 109 LATIGO LN
- Address 2
- SUITE C
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-8112
- Phone
- (719) 276-3211
Authorized Official
- Name
- MS. PATRICIA LYNN HEAD, NP
- Title
- NURSE PRACTIONER
- Phone
- (719) 276-3211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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