Individual
MS. KATHRYN ANN HAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP - FNP-C
Contact information
Practice address
2720 STONE PARK BLVD, SUITE 110, SIOUX CITY, IA 51102
(712) 239-4702
(712) 239-0616
Mailing address
P.O. BOX 3128, SIOUX CITY, IA 51102
(712) 239-4702
(712) 239-0616
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A-055923
IA
363L00000X
Nurse Practitioner
Primary
A055923
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092080
—
IA
Enumeration date
10/16/2006
Last updated
07/06/2011
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