Individual
MRS. NICOLE J HAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
225 ROSS ST, BATAVIA, NY 14020-1640
(585) 813-5709
Mailing address
225 ROSS ST., BATAVIA, NY 14020
(585) 813-5709
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
502321-1
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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