Courtenay Nicole Havers in Lakewood - Family Medicine
Courtenay Nicole Havers - NPI 1619913100
Courtenay Nicole Havers is a Family Medicine in Lakewood, Washington. Courtenay Nicole Havers practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Courtenay Nicole Havers is 1619913100. The last update date is 2023-03-07.
Courtenay Nicole Havers's current location address is 11307 Bridgeport Way Sw Ste 220a, Lakewood, Washington. You can contact this provider via phone number 2539852733 and fax number 3607446270. The mailing address for Courtenay Nicole Havers is 11307 Bridgeport Way Sw Ste 220a, Lakewood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtenay Nicole Havers |
|---|---|
| Address | 11307 Bridgeport Way Sw Ste 220a, Lakewood, Washington |
| Phone Number | 2539852733 |
| Fax Number | 3607446270 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619913100 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 11307 Bridgeport Way Sw Ste 220a |
|---|---|
| City | Lakewood |
| State | Washington (WA) |
| Post Code | 984993024 |
| Phone Number | 2539852733 |
| Fax Number | 3607446270 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00041968 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7405427 | AETNA | ||
| P00023573 | RAILROAD MEDICARE | ||
| 1014702 | WA | -- | |
| 8359416 | WA | -- | |
| 8918BR | REGENCE BLUESHIELD | ||
| 169190 | WA | LABOR AND INDUSTRIES |
Post Comment/ Review Below
What is the Courtenay Nicole Havers's 1619913100?
The Courtenay Nicole Havers's NPI (National Provider Identifier) Number is 1619913100. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Courtenay Nicole Havers located?
The Courtenay Nicole Havers is located at 11307 Bridgeport Way Sw Ste 220A, Lakewood, WA 984993024.
What is the Courtenay Nicole Havers's area of specialization and corresponding taxonomy classification?
The Courtenay Nicole Havers's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Courtenay Nicole Havers receive the assignment of its 1619913100 from the Centers for Medicare & Medicaid Services?
The Courtenay Nicole Havers was issued its 1619913100 by the Centers for Medicare & Medicaid Services on 2006-06-22.
When was the information regarding Courtenay Nicole Havers most recently updated?
The details pertaining to the Courtenay Nicole Havers, including its address, specialty, and other relevant information, were last refreshed on 2023-03-07.
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