Brodhead, Havilah Noel

Brodhead, Havilah Noel is an sole proprietor health care provider with primary practice located at 2275 Ne Doctors Dr Ste 1, Bend OR 97701-6324. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Brodhead, Havilah Noel can be contacted via phone (541) 316-5693.

Contact Information

Primary practice address
2275 Ne Doctors Dr Ste 1 Bend OR 97701-6324
Phone: (541) 316-5693
Fax: (844) 395-8842
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 201407546NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 201500894NP-PP Oregon

Profile Details

NPI number 1841584844
LBN Legal business name Brodhead, Havilah Noel
Credentials R.N., MSN, FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2011
Last updated Aug 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841584844 NPPES
Oregon MEDICAID 500678393

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