Individual
MRS. SUSAN HASSELLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, ARNP, CNS
Contact information
Practice address
900 MASSACHUSETTS ST, LAWRENCE, KS 66044-2868
(785) 865-2400
(785) 865-0014
Mailing address
1571 N 962 RD, LAWRENCE, KS 66046-9224
(785) 842-9138
(785) 865-0014
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
74031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010500
BC/BS
KS
01
—
62-60238
UNITED HEALTHCARE
—
Enumeration date
10/04/2005
Last updated
07/08/2007
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