Individual
BRIANNA HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
19409 BLONDO PKWY APT 1A, ELKHORN, NE 68022-3083
(501) 547-6655
Mailing address
19409 BLONDO PKWY APT 1A, ELKHORN, NE 68022-3083
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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