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Audrey Havens, PA-C — NPI 1053885624, Elyria, OH | NPI Central

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NPI 1053885624

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Audrey Havens, PA-C

NPI 1053885624 · Medical Physician Assistant · Elyria, OH

Provider details

NPI number: 1053885624
Entity type: Individual
Primary specialty: Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Female
Sole proprietor: No
License: 50.005775RX (OH)

Specialties & taxonomies

Medical Physician AssistantPrimary363AM0700XLicense 50.005775RX (OH)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

125 E Broad St

Elyria, OH 44035-6400

Phone: (440) 406-5500

Approximate (ZIP-level) locationGet directions

More OH providers

Mailing address

3417 W 148th St

Cleveland, OH 44111-2119

Additional practice locations (1)

75 Arch St Ste 301
Akron, OH 44304-1429
Phone: (330) 253-1800
Fax: (330) 253-1955

Registry dates

Enumerated: 2019-01-17
Last updated: 2023-12-06
Certified: 2023-12-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.