Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWN ROBERT O'HAVER, AG-ACNP
Active Sole ProprietorSHAWN ROBERT O'HAVER, AG-ACNP is a Primary Care Nurse Practitioner healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1922450493 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · LAKE HAVASU CITY, AZ
Registration Details
- NPI Number
- 1922450493
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2016 (10.064782301786 yrs)
- Last Updated
- Nov 11, 2021
- License
-
AP11115 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
84 ACOMA BLVD N STE 106LAKE HAVASU CITY, AZ, 864036096Browse AZ providers · Browse ZIP 86403
- Phone
- 9284128808
- Fax
- 9284128807
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.