Elizabeth A Dehaven, FNP-BC
NPI #1164806592 in Fredericktown, Missouri
Provider Information
- NPI Number
- 1164806592
- Entity Type
- Individual
- Name
- Elizabeth A Dehaven, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- Jul 15, 2015
- Last Updated
- Apr 4, 2019
Practice Location
- Address
- 101 KINGSBURY BLVD
- City
- Fredericktown
- State
- Missouri
- ZIP Code
- 63645-7959
- Phone
- (573) 561-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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