Individual
AUDRA HAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5922
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9361703
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
079560-23
NH
367500000X
Certified Registered Nurse Anesthetist
124866
FL
Other
Enumeration date
12/18/2018
Last updated
02/25/2019
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