Individual provider · Type 1 NPI
Stacey Renee Haveman, PHYSICIAN ASSISTANT
Medical Physician Assistant · Walla Walla, WA
NPI number
1023309796
Active
Practice location
55 W Tietan St
Walla Walla, WA 99362-4445
Fax (509) 522-1592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA60389054 (WA) |
Medical Physician Assistant: Definition to come...
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- Abby Bettilyon Sorensen, FNPFamily Nurse Practitioner Walla Walla, WA NPI 1902289838
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- Alison E. Kirby, MDPediatrics Physician Walla Walla, WA NPI 1447224571
- Amanda Jo Stepper, CNMAdvanced Practice Midwife Walla Walla, WA NPI 1639776370
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Other medical physician assistant providers in Walla Walla
About NPI 1023309796
Stacey Renee Haveman, PHYSICIAN ASSISTANT's National Provider Identifier is 1023309796, issued on Apr 28, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Walla Walla, WA. The record was last updated on Jan 18, 2016.