Individual provider · Type 1 NPI
Mindy Marie Haverlah, APRN, FNP-C
Primary Care Nurse Practitioner · Richmond, TX
NPI number
1093514739
Active
Practice location
1601 Main St Ste 401
Richmond, TX 77469-3244
Mailing address
950 E State Highway 114 Ste 200
Southlake, TX 76092-5261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1192786 (TX) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1093514739
Mindy Marie Haverlah, APRN, FNP-C's National Provider Identifier is 1093514739, issued on Mar 12, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Richmond, TX. The record was last updated on Jul 7, 2025.