Individual
MRS. DIANNE LYNN HAVANCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
9500 EUCLID AVE, G5, CLEVELAND, OH 44195-0001
(216) 444-4050
Mailing address
9500 EUCLID AVE, G5, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.13770-NP
OH
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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