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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841584844 | NPPES |
| Oregon | MEDICAID | 500678393 |
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