Individual
KATHERINE MARIE HAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
833 PARK EAST BLVD, LAFAYETTE, IN 47905-0785
(765) 743-4400
Mailing address
1216 ROTHERHAM LN, BEECH GROVE, IN 46107-3323
(317) 441-6640
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71007398A
IN
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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