Individual provider · Type 1 NPI

Michele D. Haviland, PNPC

Pediatric Nurse Practitioner · Elmwood Park, NJ

NPI number 1336219963 Active

Practice location

241 Molnar Dr Ste 202
Elmwood Park, NJ 07407-3200

Fax (877) 553-1385

Mailing address

831 Woodland Ave
Oradell, NJ 07649-1431

Other practice locations

  • 3424 Kossuth Ave, Bronx, NY 10467-2410 · (718) 519-3015

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X381199 (NY)
Pediatric Nurse Practitioner Primary 363LP0200X26NN09740700 (NJ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1336219963

Michele D. Haviland, PNPC's National Provider Identifier is 1336219963, issued on Nov 9, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Elmwood Park, NJ. The record was last updated on Nov 1, 2021.