Provider Demographics
NPI:1245877703
Name:HAVENHANDS PLLC
Entity type:Organization
Organization Name:HAVENHANDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOPKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-567-0236
Mailing Address - Street 1:3301 E THOMAS RD STE A
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-7302
Mailing Address - Country:US
Mailing Address - Phone:480-567-0236
Mailing Address - Fax:
Practice Address - Street 1:3301 E THOMAS RD STE A
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-7302
Practice Address - Country:US
Practice Address - Phone:480-567-0236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)Group - Multi-Specialty