person
Stacey Renee Haveman, PHYSICIANASSISTANT
Medical Physician Assistant in Walla Walla, Washington
NPI 1023309796

Stacey Renee Haveman is a Medical Physician Assistant based in Walla Walla, WA and is specialized in Medical. Stacey Renee Haveman practices in Walla Walla, WA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Stacey Renee Haveman is 1023309796 and holds a License No. PA60389054 (Washington).

The current practice location address for Stacey Renee Haveman is 55 W Tietan St, Walla Walla, WA and can be reached out via phone at 509-525-3720 and via fax at 509-522-1592.

Location: 55 W Tietan St, Walla Walla, WA, 99362-4445
person
Provider Profile Details
NPI Number
1023309796
Provider Name
Stacey Renee Haveman
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
55 W Tietan St, Walla Walla, WA, 99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1592
Provider Enumeration Date
04/28/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
03465758 05 NY
institution
Provider Business Practice Location Address Details
Address
55 W Tietan St
City
State
Zip
99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1592
person
Provider Business Mailing Address Details
Address
55 W Tietan St
City
State
Zip
99362-4445
Phone Number
509-525-3720
Fax Number
509-522-1592
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA60389054 (Washington)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.