Individual
LAUREL ANN HAEUSSLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP
Contact information
Practice address
2577 SAMARITAN DR STE 725, SAN JOSE, CA 95124-4105
(408) 523-3960
Mailing address
PO BOX 276950, SACRAMENTO, CA 95827-6950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95069832
CA
163WP0200X
Pediatric Registered Nurse
95069832
CA
363L00000X
Nurse Practitioner
Primary
95007240
CA
363LP0200X
Pediatric Nurse Practitioner
95007240
CA
Other
Enumeration date
08/04/2017
Last updated
04/27/2026
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