Stacey Haveman, PHYSICIAN ASSISTANT

Individual Active
NPI 1023309796
Medical Physician Assistant Walla Walla, WA

Stacey Haveman, PHYSICIAN ASSISTANT holds NPI 1023309796, with a primary taxonomy of medical physician assistant and a practice location in Walla Walla, WA. The number was issued on April 28, 2011 and the NPPES record was last updated on January 18, 2016.

This record hasn't been updated in NPPES since 2016. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA60389054 (WA)

Practice location

55 W Tietan St
Walla Walla, WA 99362-4445
Phone: (509) 525-3720

Local context

Active NPPES records list 5 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 4 of them within 10 miles.

The same primary taxonomy is listed by 1,094 in Washington and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Stacey Renee Haveman
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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