Individual
AMY KATHERINE HAVERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
660544
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP115846
TX
Other
Enumeration date
06/07/2007
Last updated
08/11/2020
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