Nurse Practitioner, Pediatrics
BROOKE HAVEN NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1043500143 · enumerated 2011-04-11 · record updated 2015-09-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 751084, DAYTON, OH, 45475-1084 (937) 853-0286 Fax (937) 641-4410 Google Maps Apple Maps OpenStreetMap
- Practice location 1 CHILDRENS PLZ, DAYTON, OH, 45404-1898 (937) 641-5597 Fax (937) 641-4410 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License COA12011-NP OH
In this directory
Locations and evidence
-
Practice location
DAYTON, OH, 454041898
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.