Individual
EMILY HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-6246
(440) 816-6263
Mailing address
PO BOX 78000, DETROIT, MI 48278-1589
(440) 350-0832
(440) 579-0191
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
699868
NY
367500000X
Certified Registered Nurse Anesthetist
AP133768
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020389
OH
367500000X
Certified Registered Nurse Anesthetist
RN285457
GA
Other
Enumeration date
12/17/2015
Last updated
11/19/2021
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