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

Ryan Havens, AGPCNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1629473228

Ryan Havens, AGPCNP-BC is a Primary Care Nurse Practitioner in Royal Oak, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2014
Specialties on file
3

Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 898-4021
Fax: (248) 898-1473
Show map & directions

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

Additional practice locations (1)

  • 4600 Investment Dr, Troy, MI 48098-6365 — (248) 267-5050

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704230300 (MI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 4704230300 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704230300 (MI)

Record details

NPI number1629473228
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedOctober 27, 2014
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021

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