Individual
MRS. PATRICIA A HASELDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
4750 WATERS AVE, STE 500, SAVANNAH, GA 31404
(912) 629-7800
(912) 355-5515
Mailing address
PO BOX 116336, ATLANTA, GA 30368-6336
(912) 629-7800
(912) 355-5515
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN076917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003183193A
—
GA
05
—
003183193J
—
GA
05
—
003183193K
—
GA
Enumeration date
08/13/2014
Last updated
09/13/2022
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