Individual
MRS. ASHLEY LYNN HAVLOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2845 GREENBRIER RD STE F400, GREEN BAY, WI 54311-6519
(920) 288-8280
Mailing address
PO BOX 735041, CHICAGO, IL 60673-5041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13674
WI
363LF0000X
Family Nurse Practitioner
1367433
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100231538
—
WI
Enumeration date
03/02/2023
Last updated
07/13/2023
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