Individual
CONNIE SUE HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-7785
Mailing address
1019 BROOKVIEW CT, PEORIA, IL 61615-9717
(309) 655-7785
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007217
IL
Other
Enumeration date
08/21/2008
Last updated
11/21/2008
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