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Individual

DANIELLE MARIE HAANSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10339 LONG ST, OVERLAND PARK, KS 66215-2237
(913) 620-7221
Mailing address
7929 SW 40TH AVE, APT F, PORTLAND, OR 97219-3597
(913) 620-7221

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
200642846RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
201060016CRNA
OR

Other

Enumeration date
06/22/2010
Last updated
07/30/2018
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