Individual
MS. JUDITH HAFFNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
700 W CENTRAL AVE, SUITE 111, EL DORADO, KS 67042-2184
(316) 321-5630
(316) 320-0244
Mailing address
700 W CENTRAL AVE, SUITE 111, EL DORADO, KS 67042-2184
(316) 321-5630
(316) 320-0244
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010536
KS BLUE CROSS/BLUE SHIELD
KS
Enumeration date
02/23/2006
Last updated
07/08/2007
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