Individual
MRS. CATHERINE MARIE EVANGELISTA HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 661-7393
(248) 344-4103
Mailing address
39450 W12 MILE ROAD, NOVI, MI 48377
(842) 661-7393
(842) 344-4109
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704163632
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704163632
MI
Other
Enumeration date
10/30/2012
Last updated
03/24/2021
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