# SAFE HAVEN FAMILY PRACTICE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992081335
- **Authorized official:** MRS. KIM RENAE ENGLISH FNP (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (704) 509-4540

## Contact information

- **Practice address:** 9338 AMES HOLLOW RD, CHARLOTTE, NC 28216-8787
- **Practice address phone:** (704) 509-4540
- **Mailing address:** PO BOX 681954, CHARLOTTE, NC 28216-0032
- **Mailing address phone:** (704) 509-4540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2011
- **Last updated:** 10/31/2011