Individual provider · Type 1 NPI
Paul S. Havrilka Iii, APRN, FNP-C
Family Nurse Practitioner · Centralia, IL
NPI number
1801071543
Active
Practice location
208 E 3rd St
Centralia, IL 62801-3902
Fax (618) 532-3128
Mailing address
8 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864-6736
Other practice locations
- 602 S 42nd St, Mount Vernon, IL 62864-6264 · (618) 899-3278
- 1003 E Mccord St, Centralia, IL 62801-3345 · (618) 436-6633
- 104 E Market St, Mc Leansboro, IL 62859-1317 · (618) 244-4800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2004031849 (MO) |
| Registered Nurse | 163W00000X | 041-339986 (IL) |
| Family Nurse Practitioner | 363LF0000X | 121502 (AK) |
| Family Nurse Practitioner Primary | 363LF0000X | 209-010-715 (IL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Centralia
- Dale D. Pearce, APRN, FNP-CFamily Nurse Practitioner Centralia, IL NPI 1003433723
- Alexis Wernsman, APNFamily Nurse Practitioner Centralia, IL NPI 1073147237
- Misty Dawn Wernsman, FNPFamily Nurse Practitioner Centralia, IL NPI 1144771692
- Jessica Lynn ChapmanFamily Nurse Practitioner Centralia, IL NPI 1316454085
- Stacy D. Menees, FNPFamily Nurse Practitioner Centralia, IL NPI 1386815959
- Jana Tull, APNFamily Nurse Practitioner Centralia, IL NPI 1588105654
- Camille Deanna Greider, MSN, RN, FNP-BCFamily Nurse Practitioner Centralia, IL NPI 1699319004
- Barbara Dawn Becker, FNPFamily Nurse Practitioner Centralia, IL NPI 1770031841
About NPI 1801071543
Paul S. Havrilka Iii, APRN, FNP-C's National Provider Identifier is 1801071543, issued on Dec 31, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Centralia, IL. The record was last updated on Oct 20, 2020.