Matt Havens, MSW LCSW, MS PA-C
Physician Assistant · Bolivar, MO
UnclaimedMSW LCSW, MS PA-CNPI 1992912216
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2007-05-17
- Practice location
- Bolivar, MO
- Last NPPES update
- 2017-01-27
State licenses
- MO · Physician assistant · NPPES self-reportedListed on NPI record
“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.