Stacey Renee Haveman, PHYSICIANASSISTANT
Stacey Renee Haveman, PHYSICIANASSISTANT is a Physician Assistant in Walla Walla, Washington. Qualified in 2010, 16 years ago. Practices with Privia Medical Group Washington PLLC, a 72-clinician group and accepts Medicare assignment. Licensed in Washington.
- Years since qualifying
- 16
- Licensed in
- WA
- In the registry since
- 2011
Practice location Address checks out
55 W Tietan StWalla Walla, WA 99362-4445
Phone: (509) 525-3720
Fax: (509) 522-1592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA60389054 (WA) |
|---|
Record details
| NPI number | 1023309796 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHYSICIANASSISTANT |
| Sole proprietor | No |
| NPI enumerated | April 28, 2011 |
| Last updated in NPPES | January 18, 2016 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2010 (16 years in practice) |
| Group practice | Privia Medical Group Washington Pllc — 72 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Walla Walla
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Jon Dean Claridge, PA-C
320 W Willow St, Walla Walla, WA 99362-2922 · (509) 525-3720
-
Mrs. Carol Ellen Flaugher-Rupe, PA-C
77 Wainwright Dr, Walla Walla, WA 99362-3975 · (509) 525-5200
-
Hugo Jonathan Reyes, PA-C
1313 N 13th Ave, Walla Walla, WA 99362-8817 · (509) 525-3610
-
Mr. Thomas Aaron Shaver, PA-C
301 W Poplar St Ste 210, Walla Walla, WA 99362-2800 · (509) 897-8959
-
Joshua Wicks, PA
380 Chase Ave, Walla Walla, WA 99362-2924 · (509) 522-5820