Individual provider · Type 1 NPI
Lisa Havick, AGACNP
Acute Care Nurse Practitioner · Dallas, TX
NPI number
1063878288
Active
Practice location
3500 Gaston Ave
Dallas, TX 75246
Other practice locations
- 1810 Turner Ridge Dr Apt 9305, Fort Worth, TX 76110-7415 · (402) 430-3782
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP129579 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1063878288
Lisa Havick, AGACNP's National Provider Identifier is 1063878288, issued on Jan 4, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dallas, TX. The record was last updated on Nov 15, 2019.