| Doctor Name: | KAREN HAVEMAN |
| NPI Number: | 1144328055 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, CPNP |
| License Number: | 512848 |
| Business Practice Address: | 2200 Bergquist Dr Ste 1 Attn: Ob/gyn Clnic/ Sgobg Lackland A F B, TX - 782369908 |
| Business Phone Number: | 2102926452 |
| Business Fax Number: | |
| Mailing Address: | 680 Five Oaks Cir, CANYON LAKE |
| State: | TX |
| Postal Code: | 781335148 |
| Phone Number: | 2102379903 |
| Fax Number: | |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 06/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 512848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |