Individual
MS. MARY SUSAN HASKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 392-2352
(970) 350-6454
Mailing address
PO BOX 286, GLEN HAVEN, CO 80532-0286
(970) 586-5173
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRA-4559
CO
367500000X
Certified Registered Nurse Anesthetist
RN562646
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45421331
—
CO
Enumeration date
06/09/2006
Last updated
06/01/2010
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