Elizabeth A Dehaven, FNP-BC is a family nurse practitioner in Fredericktown, MO. Elizabeth A Dehaven, FNP-BC NPI is 1164806592. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
101 KINGSBURY BLVD
FREDERICKTOWN, MO
ZIP 63645-959
Phone: (573) 561-1555
Fax: (573) 783-5951
The NPI 1164806592 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/15/2015 and was last updated on 4/4/2019.