Individual provider · Type 1 NPI
Brett A. Havens, FNP
Family Nurse Practitioner · Syracuse, NY
NPI number
1568073005
Active
Practice location
750 E Adams St
Syracuse, NY 13210-2306
Mailing address
4678 State Route 364
Rushville, NY 14544-9721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 346206 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F346206-01 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1568073005
Brett A. Havens, FNP's National Provider Identifier is 1568073005, issued on Aug 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Syracuse, NY. The record was last updated on Jul 17, 2023.