Individual
HAVEN ELIZABETH MCCLANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4424
(479) 463-1075
(479) 463-5345
Mailing address
221 TUSCANY ST, LOWELL, AR 72745-9002
(903) 539-6293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R099358
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
214904
AR
Other
Enumeration date
12/08/2020
Last updated
06/04/2025
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