Organization
NORTON CLARK PHYSICIAN PRACTICES, LLC
Active
Other names
Havens Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY GAST (VP MANAGED CARE)
(502) 559-9409
Entity
Organization
Contact information
Practice address
2205 GREENTREE N, CLARKSVILLE, IN 47129-8957
(812) 283-4441
(812) 288-2605
Mailing address
4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28168470A
IN
Other
Enumeration date
12/12/2016
Last updated
11/07/2023
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