Individual
JENNA HAUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 EDGEWOOD DR NE, SAINT MICHAEL, MN 55376-4588
(763) 744-4000
Mailing address
110943 VON HERTZEN CIR, CHASKA, MN 55318-2714
(763) 219-6682
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
V542285958911
MN
Other
Enumeration date
01/05/2015
Last updated
03/11/2021
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