Most Relevant Information
Provider Data
| NPI Number: | 1003690264 |
| Provider Name: | KIRSTEN HAVENS APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 209028110 |
Most Important Dates
| Enumeration Date: | 08/21/2023 |
| Last Updated: | 08/21/2023 |
Provider Practice Location
225 E CHICAGO AVE
CHICAGO
IL
606112991
Practice Location Phone/Fax
| Phone: | 3122276120 |
| Fax: |
Provider Mailing Location
5309 N BERNARD ST
CHICAGO
IL
606254703
Provider Mailing Phone/Fax
| Phone: | 7736336694 |
| Fax: |