Individual
MICHAEL M HAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1930 BISHOP LN, SUITE 1600, LOUISVILLE, KY 40218-1921
(502) 272-5034
(502) 272-5117
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002808
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000541714
ANTHEM - NICC
—
01
—
046612
SIHO - NICC
—
01
—
P00216325
RRMCR - NICC
KY
Enumeration date
04/19/2006
Last updated
02/02/2017
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