Individual
BROOKE N. HAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1898
(937) 641-5597
(937) 641-4410
Mailing address
PO BOX 751084, DAYTON, OH 45475-1084
(937) 853-0286
(937) 641-4410
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
COA12011-NP
OH
Other
Enumeration date
04/11/2011
Last updated
09/11/2015
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