Individual
ELIZABETH ANNE HASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
360 COLBORNE ST, SAINT PAUL, MN 55102-3228
(651) 744-5393
Mailing address
360 COLBORNE ST, SAINT PAUL, MN 55102-3228
(651) 744-5393
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R1234998
MN
363LS0200X
School Nurse Practitioner
4415
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039J4HA
BCBS
MN
01
—
1209022
MEDICA
MN
05
—
135127300
—
MN
01
—
141084
UCARE
MN
01
—
CP9041027731
PREFERED ONE
MN
Enumeration date
03/22/2006
Last updated
04/28/2026
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