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Patricia A Haase, nurse practitioner

Nurse Practitioner, Family in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1154345643
StatusActive
Last updated in NPPESDec 2, 2008

Details

NPI
1154345643
Entity type
Individual (NPI-1)
Name
Mrs. Patricia A Haase
Credential
nurse practitioner
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 27, 2006
Last updated
Dec 2, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704214103MIYes

Practice location

3019 Coit Ave Ne
Grand Rapids, MI 49505-3376

Phone 616-365-9575 · Fax 616-365-9468

Mailing address

3019 Coit Ave Ne
Grand Rapids, MI 49505-3376

Phone 616-365-9575 · Fax 616-365-9468

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