Individual
ALLY HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1310 N 2ND ST APT 2202, PHOENIX, AZ 85004-1776
(425) 351-7043
Mailing address
1310 N 2ND ST APT 2202, PHOENIX, AZ 85004-1776
(425) 351-7043
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
263612
AZ
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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