Individual
SHANNON LYNN HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22659 HIGHWAY 59 N STE 140, KINGWOOD, TX 77339-4504
(281) 973-4159
Mailing address
22659 HIGHWAY 59 N STE 140, KINGWOOD, TX 77339-4504
(281) 973-4159
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP134280
TX
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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