Individual
HANNAH AUTUMN HAVERKAMP TEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
595 N MAIN ST STE 2, ASHLAND, OR 97520-1821
(541) 488-1118
(541) 488-6409
Mailing address
595 N MAIN ST, STE 2, ASHLAND, OR 97520-1821
(907) 357-7781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
38662
AK
163WW0101X
Ambulatory Women's Health Care Registered Nurse
1531
AK
367A00000X
Advanced Practice Midwife
Primary
201911189NP-PP
OR
Other
Enumeration date
04/08/2015
Last updated
01/24/2020
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