Individual
KAREN HAVEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CPNP
Contact information
Practice address
2200 BERGQUIST DR STE 1, ATTN: OB/GYN CLNIC/ SGOBG, LACKLAND A F B, TX 78236-9908
(210) 292-6452
Mailing address
680 FIVE OAKS CIR, CANYON LAKE, TX 78133-5148
(210) 237-9903
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
512848
TX
Other
Enumeration date
09/21/2006
Last updated
06/17/2013
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