Stacey R. Haveman, PHYSICIAN ASSISTANT
Physician Assistant · Walla Walla, WA
UnclaimedPHYSICIAN ASSISTANTNPI 1023309796
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2011-04-28
- Practice location
- Walla Walla, WA
- Last NPPES update
- 2016-01-18
State licenses
- WA · Physician assistant · NPPES self-reportedListed on NPI record
- WA · Physician assistant · Physician Assistant LicenseActivethrough 2028
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.