Individual
NICOLE LYNNE HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
144 EMERYVILLE DR STE 220, CRANBERRY TOWNSHIP, PA 16066-5015
(724) 935-9355
(724) 473-5195
Mailing address
144 EMERYVILLE DR STE 220, CRANBERRY TOWNSHIP, PA 16066-5015
(724) 935-9355
(724) 473-5195
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055758
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093733933
GROUP NPI
PA
Enumeration date
09/20/2012
Last updated
11/19/2024
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