Individual
HEATHER ROSE HASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNM, WHNP-BC
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 572-7651
Mailing address
412 11TH AVE W, RAY, ND 58849-3005
(701) 570-7889
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
R35617
ND
367A00000X
Advanced Practice Midwife
Primary
R35617
ND
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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