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RYAN HAVENS AGPCNP-BC
NPI 1629473228
Nurse Practitioner - Gerontology in Royal Oak, MI

Active since October 27, 2014
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-4021(248) 898-1473 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ryan Havens Agpcnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN HAVENS AGPCNP-BC (NPI 1629473228) is an individual gerontology provider in Royal Oak, Michigan, licensed in Michigan (4704230300) and active in the NPI registry since October 2014. He maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1629473228
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameRYAN HAVENSCredential: AGPCNP-BC
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone(248) 898-4021
Fax(248) 898-1473
Sole ProprietorNo
Enumeration DateOctober 27, 2014
Last NPPES UpdateNovember 4, 2021
NPPES CertifiedNovember 4, 2021
✔ NPI 1629473228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704230300
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704230300 (MI)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704230300 (MI)
3601 W 13 MILE RD, Royal Oak, MI 48073
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Secondary Practice Location 1

Location 14600 Investment Dr, Suite 200Troy, MI 48098-6365 · Phone (248) 267-5050

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIT BAHL MD, MPH
Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Oakland County (248) 898-0575
CATHERINE LEE PA
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 423-2481
DR. APARNA HARIHARAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-9060
TERRENCE METZ
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000
NICOLE MARIJANOVICH MD
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-7999
VINAYATA MANUBALLA KARETI D.O.
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (661) 948-0803
WESLEY RICHARD BARNES M.D.
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-2800
MELISSA JOY DREWRY M.D.
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Havens's NPI number?

The NPI number for Ryan Havens is 1629473228. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Where is Ryan Havens located?

Ryan Havens practices at 3601 W 13 Mile Rd, Royal Oak, MI 48073. The listed phone number is (248) 898-4021.

What is Ryan Havens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Ryan Havens was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.