Individual
LAURA ELLEN HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
620431
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP113170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051922
AANA
TX
05
—
168523207
—
TX
01
—
168523208
CSHCN
TX
01
—
88430U
BCBS
TX
Enumeration date
08/28/2006
Last updated
12/22/2021
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