Individual
ALLA HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4900 BOAT CLUB RD, FORT WORTH, TX 76135-1802
(682) 428-7711
(817) 238-6291
Mailing address
4900 BOAT CLUB RD, FORT WORTH, TX 76135-1802
(682) 428-7711
(817) 238-6291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP133017
TX
Other
Enumeration date
01/18/2017
Last updated
06/23/2026
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