Individual
MRS. MICHELE D HAVILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PNPC
Contact information
Practice address
241 MOLNAR DR STE 202, ELMWOOD PARK, NJ 07407-3200
(201) 578-4147
(877) 553-1385
Mailing address
831 WOODLAND AVE, ORADELL, NJ 07649-1431
(201) 986-0741
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN09740700
NJ
363LP0200X
Pediatric Nurse Practitioner
381199
NY
Other
Enumeration date
11/09/2006
Last updated
11/01/2021
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