Individual
SHILOH M HAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
70 BUTLER STREET, NRHN REHAB PHYSICIAN SERVICES, SALEM, NH 03079
(603) 501-5547
(603) 501-5650
Mailing address
105 CORPORATE DRIVE, NRHN REHAB PHYSICIAN SERVICES, PORTSMOUTH, NH 03801
(603) 501-5547
(603) 501-5650
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
262793
MA
363LF0000X
Family Nurse Practitioner
Primary
080161-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712116
—
MA
05
—
3118601
—
NH
01
—
NP9574
BCBS
MA
Enumeration date
01/29/2007
Last updated
03/24/2020
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