Individual
KIMBERLY HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2555 JUDGE FRAN JAMIESON WAY, VIERA, FL 32940-5998
(321) 615-5800
Mailing address
2555 JUDGE FRAN JAMIESON WAY, VIERA, FL 32940-5998
(321) 615-5800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11008717
FL
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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