Individual
JENNIFER S HAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6404 S LATAH HILLS CT, SPOKANE, WA 99224-8530
(509) 481-0487
(509) 228-9542
Mailing address
6404 S LATAH HILLS CT, SPOKANE, WA 99224-8530
(509) 481-0487
(509) 228-9542
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007512
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30007512
LICENSE
WA
Enumeration date
11/27/2006
Last updated
02/09/2015
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