Individual
LAURA SUZANNE HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1076 GAFFNEY RD STOP 7400, FT WAINWRIGHT, AK 99703-5001
(907) 361-5394
(907) 361-4835
Mailing address
1060 GAFFNEY RD STOP 7400, FT WAINWRIGHT, AK 99703-5007
(907) 361-5394
(907) 361-4835
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
23877
AK
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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