Search › Indiana › 1041C0700X
Crystal Havins
NPI 1396106068 · on the registry since 2016
Practice
- Address
- 2423 Fairfield Ave
Fort Wayne, IN 46807 - Phone
- (260) 745-9431
- Fax
- (260) 745-0734
- Organisation at this address
- Whitington Homes & Services For Children And Families, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana