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Individual
MRS. KIMBERLY CARNELLA HAUGABOOK
Active
Individual
MRS. KIMBERLY CARNELLA HAUGABOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN,MSN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.12166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061614
—
OH
01
—
H277048
MEDICARE PTAN
OH
01
—
P02361925
RRMEDICARE PTAN
OH
Enumeration date
03/29/2010
Last updated
01/16/2020
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