Individual
SAVANNAH HAVERSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 AMAPOLA DR, LAS VEGAS, NV 89142-0101
(702) 600-0678
Mailing address
1312 AMAPOLA DR, LAS VEGAS, NV 89142-0101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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