Individual
ANGELA LYNN HAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
560 S MAPLE ST STE 200, WACONIA, MN 55387-1757
(952) 442-2163
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 847-4029
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
365
MN
Other
Enumeration date
10/14/2014
Last updated
02/28/2019
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