Individual
MRS. CHRISTINE RENEE HAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4400 GRANT BLVD, YUKON, OK 73099
(405) 603-4660
(405) 470-3377
Mailing address
11200 LERIDA LN, OKLAHOMA CITY, OK 73173-8158
(405) 314-5266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79042
OK
364SA2100X
Acute Care Clinical Nurse Specialist
0079042
OK
364SP0200X
Pediatric Clinical Nurse Specialist
0079042
OK
Other
Enumeration date
04/22/2007
Last updated
03/15/2021
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