Individual
LINDA SUSAN HAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
2641 DEVELOPMENT DRIVE, GREEN BAY, WI 54311
(920) 338-6868
(920) 338-6869
Mailing address
2641 DEVELOPMENT DRIVE, GREEN BAY, WI 54311
(920) 338-6868
(920) 338-6869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
74273-30
WI
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
2066-033
WI
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
2066033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43977500
—
WI
Enumeration date
11/06/2006
Last updated
08/05/2010
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