Individual
TONYA LYNN HAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
3400 W 66TH ST STE 290, EDINA, MN 55435-2133
(952) 914-0883
(952) 948-7416
Mailing address
8746 GRIER LN, EDEN PRAIRIE, MN 55344-6633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2893
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2886162-00
—
MN
Enumeration date
08/31/2006
Last updated
05/23/2019
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