Individual
MS. MARGUERITE ELIZABETH HAVLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1400 N WILMOT RD, TUCSON, AZ 85712-4498
(520) 324-5090
(520) 324-5236
Mailing address
PO BOX 31235, TUCSON, AZ 85751-1235
(520) 324-4100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110937
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
582363
—
AZ
Enumeration date
07/12/2006
Last updated
09/16/2021
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