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Stacey Haveman, PHYSICIAN ASSISTANT
NPI 1023309796 · on the registry since 2011
Practice
- Address
- 55 W Tietan St
Walla Walla, WA 99362 - Phone
- (509) 525-3720
- Fax
- (509) 522-1592
- Organisation at this address
- Walla Walla Clinic, Inc.
Laboratory Corporation Of America
Laboratory Corporation Of America
Privia Medical Group Washington, Pllc
Privia Medical Group Washington, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 70
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington