LEANNE HAVERKOST

WACO, TX
NPI1780057919
Former NameLEANNE HARVEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP130721)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: TN  RN0000179744)
Enumeration Date2015-11-10
Last Update Date2016-07-14
Business Address
-- LEANNE HAVERKOST FNP
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
Mailing Address
-- LEANNE HAVERKOST FNP
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200