Individual
MS. BRENDA L HAVELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
190 DARLENE DR, CORAOPOLIS, PA 15108-9300
(801) 554-6847
Mailing address
190 DARLENE DR, CORAOPOLIS, PA 15108-9300
(801) 554-6847
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN281881L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN281881L
PROFESSIONAL NURSING
PA
Enumeration date
04/13/2021
Last updated
04/13/2021
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