Dr PAMELA J HAVENS is a female medical professional, specializing in Nurse Practitioner. She graduated in 1997.
IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY
4105 KIRKMAN ST
LAKE CHARLES
LA
706074603
Tel: 3374758022
| Npi | 1982622882 |
| Pac Id | 5991926552 |
| Professional Enrollment Id | I20141023000860 |
| Last Name | HAVENS |
| First Name | PAMELA |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | IMPERIAL CALCASIEU HUMAN SERVICES AUTHORITY |
| Group Practice Pac Id | 2860629839 |
| Number Of Group Practice Members | 15 |
| Line 1 Street Address | 4105 KIRKMAN ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 706074603 |
| Phone Number | 3374758022 |
| Hospital Affiliation Ccn 1 | 190106 |
| Hospital Affiliation Lbn 1 | OAKDALE COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 190050 |
| Hospital Affiliation Lbn 2 | BEAUREGARD MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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