Organization
HAVEN HOME PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MARIE DESILETS (CMA/BILING)
(941) 916-3242
Entity
Organization
Contact information
Practice address
15551 N GREENWAY-HAYDEN LOOP, SUITE 155, SCOTTSDALE, AZ 85260
(888) 752-8055
(888) 491-8760
Mailing address
15551 N GREENWAY-HAYDEN LOOP, SUITE 155, SCOTTSDALE, AZ 85260
(888) 752-8055
(888) 491-8760
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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