Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY RENEE HAVEMAN, PHYSICIAN ASSISTANT
ActiveSTACEY RENEE HAVEMAN, PHYSICIAN ASSISTANT is a Medical Physician Assistant healthcare provider located in WALLA WALLA, Washington. NPI 1023309796 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WALLA WALLA, WA
Registration Details
- NPI Number
- 1023309796
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2011 (15.253853771703 yrs)
- Last Updated
- Jan 18, 2016
- License
-
PA60389054 (WA)
Practice Information
- Address
-
55 W TIETAN STWALLA WALLA, WA, 993624445Browse WA providers · Browse ZIP 99362
- Phone
- 5095253720
- Fax
- 5095221592
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WALLA WALLA, WA
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROL ELLEN FLAUGHER-RUPE | PA-C | 1326078163 |
| HUGO JONATHAN REYES | PA-C | 1811206717 |
| JON DEAN CLARIDGE | PA-C | 1801447396 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.