Individual
KATHLEEN A HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3925 OLD REDWOOD HWY, SANTA ROSA, CA 95403-1719
(707) 566-5326
Mailing address
4327 FISTOR DR, SANTA ROSA, CA 95409-2616
(707) 538-2687
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
493456
CA
Other
Enumeration date
10/23/2006
Last updated
12/30/2021
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