Individual provider · Type 1 NPI

Laura Havelis

Nurse Practitioner · Bradenton, FL

NPI number 1720454978 Active

Practice location

6010 Pointe West Blvd
Bradenton, FL 34209-5531

Fax (941) 746-3433

Mailing address

7000 Atrium Way, Suite 6
Mount Laurel, NJ 08054-3917

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X26NJ00593400 (NJ)
Registered Nurse 163W00000X26NR13457900 (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 1720454978

Laura Havelis's National Provider Identifier is 1720454978, issued on Aug 11, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bradenton, FL. The record was last updated on Feb 5, 2024.