Individual
ANNA MELISSA HAENCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
307 LOPIN CT, FORISTELL, MO 63348-2640
(217) 248-8531
Mailing address
307 LOPIN CT, FORISTELL, MO 63348-2640
(217) 248-8531
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
041411666
IL
163WR0006X
Registered Nurse First Assistant
Primary
2020011785
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
06/17/2021
Last updated
10/23/2023
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