Individual
PAMELA HAVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 PENNACOOK ST, MANCHESTER, NH 03104-3554
(603) 669-7321
Mailing address
36 CHECKERBERRY LN, GOFFSTOWN, NH 03045-1600
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0208882304
NH
Other
Enumeration date
05/18/2006
Last updated
04/26/2012
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