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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HAVENS FAMILY CLINIC

Active Organization

Family Medicine · CANON CITY, CO

Registration Details

NPI Number
1619011830
Provider Type
Organization
NPI Issued
Feb 19, 2007 (19.171265483737 yrs)
Last Updated
Mar 23, 2012
Licenses
2124 (CO)
NP4805 (CO)
28791 (CO)

Practice Information

Address
109 LATIGO LN
SUITE C
CANON CITY, CO, 812128112
Browse CO providers · Browse ZIP 81212
Phone
7192763211
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Family Medicine

Other Family Medicine Organizations in CANON CITY, CO

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.