Rattanavalee Jansod Havlat, APRN Valid NPI

Individual provider · Adult Health Nurse Practitioner · Fort Walton Beach, FL

NPI

1124761093

Type

Individual (Type 1)

Primary specialty

Adult Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LA2200X

License number

APRN11018735 (FL)

Sex

Female

Sole proprietor

Yes

Enumerated

2022-04-18

Last updated

2025-03-05