Individual
NICOLE HAVELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
4922 TANBARK DR, WILMINGTON, NC 28412-7718
(910) 200-8646
Mailing address
4922 TANBARK DR, WILMINGTON, NC 28412-7718
(910) 200-8646
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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