Individual provider · Type 1 NPI

Misty Lynn Dehaven, APN

Family Nurse Practitioner · Rockford, IL

NPI number 1003384603 Active

Practice location

1639 N Alpine Rd Ste 260
Rockford, IL 61107-1481

Fax (815) 395-1415

Mailing address

PO Box 957
Rockford, IL 61105-0957

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209018358 (IL)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

Other family nurse practitioner providers in Rockford

See all in Rockford →

About NPI 1003384603

Misty Lynn Dehaven, APN's National Provider Identifier is 1003384603, issued on Nov 13, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Feb 26, 2019.