Individual
BRANDI R HAUGABOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
700 CENTRAL AVE STE 400, ST PETERSBURG, FL 33701-3600
(727) 895-1300
Mailing address
PO BOX 25317, TAMPA, FL 33622-5317
(813) 286-0033
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106109400
—
FL
01
—
8YLOR
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/22/2020
Last updated
01/13/2022
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