Elizabeth A Dehaven FNP-BC

NPI # 

Practice Address:

101 Kingsbury Blvd

Fredericktown, MO, 63645-7959

Practice Phone:

573-561-1555

Practice Fax:

573-783-5951

License Number:

2015021530

License State:

MO

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X