Individual
MS. PAMELA J HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, PMHNP
Contact information
Practice address
4105 KIRKMAN ST, IMPERIAL CALCASIEU HSA, LAKE CHARLES, LA 70607
(337) 475-8054
Mailing address
8884 HIGHWAY 8, LEESVILLE, LA 71446-1902
(337) 392-1478
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN111124 AP04675
LA
Other
Enumeration date
07/18/2006
Last updated
08/07/2014
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