Organization
FAMILY PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN ROBERT O'HAVER NP (OWNER)
(928) 208-2430
Entity
Organization
Contact information
Practice address
1720 MESQUITE AVE STE 100, LAKE HAVASU CITY, AZ 86403-5602
(928) 412-8808
(928) 412-8807
Mailing address
1720 MESQUITE AVE STE 100, LAKE HAVASU CITY, AZ 86403-5602
(928) 412-8808
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/29/2023
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