Individual
MS. MARY BETH HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
11337 W 76TH PL, ARVADA, CO 80005-3485
(720) 299-3508
Mailing address
11337 W 76TH PL, ARVADA, CO 80005-3485
(720) 299-3508
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0004371-NP
CO
363L00000X
Nurse Practitioner
Primary
RN.0106515
CO
363L00000X
Nurse Practitioner
RXN.0000044-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106515
—
CO
Enumeration date
08/24/2006
Last updated
08/22/2022
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