Individual
MRS. THERESA ANN HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3300 N SANTA FE TRL, AVONDALE, AZ 85392-6734
(623) 547-1018
Mailing address
3300 N SANTA FE TRL, AVONDALE, AZ 85392-6734
(623) 547-1018
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN210623
AZ
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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