Individual provider · Type 1 NPI

Mark Gerard Havlicek, A.P.N.

Nurse Practitioner · Oakland, NJ

NPI number 1033708052 Active

Practice location

43 Yawpo Ave
Oakland, NJ 07436-2714

Mailing address

27 Skytop Rdg
Oakland, NJ 07436-2355

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ01014700 (NJ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1033708052

Mark Gerard Havlicek, A.P.N.'s National Provider Identifier is 1033708052, issued on Jan 14, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oakland, NJ. The record was last updated on Jan 14, 2021.