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Individual
CARLY HALL HAAS
Active
Individual
CARLY HALL HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-138869
AL
363LA2100X
Acute Care Nurse Practitioner
1-138869
AL
363LF0000X
Family Nurse Practitioner
201605978NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
1-138869
AL
Other
Enumeration date
09/21/2016
Last updated
09/08/2022
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