Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth A Dehaven, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1164806592

Elizabeth A Dehaven, FNP-BC is a Family Nurse Practitioner in Fredericktown, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

101 Kingsbury Blvd
Fredericktown, MO 63645-7959
Phone: (573) 561-1555
Fax: (573) 783-5951
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2015021530 (MO)

Record details

NPI number1164806592
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 15, 2015
Last updated in NPPESApril 4, 2019

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