Kurt Douglas De Haven CRNP

NPI 1063439511 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1063439511
Gender Male
Enumeration Date 07/17/2006
Last Updated 06/12/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
320 E NORTH AVE
PITTSBURGH PA, 15212-4756, US
Phone (412) 359-8820
Fax (412) 359-8222
Business Location
320 E NORTH AVE
PITTSBURGH PA, 15212-4756, US
Phone (412) 359-8820
Fax (412) 359-8222
Toxanomy
Taxonomy Code 363L00000X
License State Pennsylvania
License Number SP008316
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According to our database, Kurt Douglas De Haven CRNP NPI is 1063439511, taxonomy code is 363L00000X and license number is SP008316, license state is located at Pennsylvania. Kurt Douglas De Haven CRNP physically located at 320 E North Ave, Pittsburgh PA, 15212-4756. NPI Number Kurt Douglas De Haven CRNP has the Individual type.

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1063439511 NPI number is provided on an as is basis without warranty of any kind. 1063439511 is maintained by the National Plan & Provider Enumeration System. The contents of Kurt Douglas De Haven CRNP are for informational purposes only.