Individual
KATHLEEN T HASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CS FNP
Contact information
Practice address
2675 36TH ST, PARKERSBURG, WV 26104-8024
(304) 422-8112
(304) 422-3924
Mailing address
301 SAINT ANDREWS BLVD, BELPRE, OH 45714-9327
(304) 422-8112
(304) 422-3924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27651
WV
363LF0000X
Family Nurse Practitioner
NP06495
OH
363LF0000X
Family Nurse Practitioner
RN283452
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721120
MSBCBS
WV
01
—
500017684
RR MEDICARE
—
05
—
7102090000
—
WV
Enumeration date
03/02/2006
Last updated
06/24/2008
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