Individual
MS. COLLEEN PATRICIA HAESCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCW
Contact information
Practice address
RURAL CLINICS FERNLEY, 415 HIGHWAY 95A BUILDING I, FERNLEY, NV 89408-9261
(775) 575-7744
(775) 575-7769
Mailing address
727 FAIRVIEW DR., STE A, CARSON CITY, NV 89701-5493
(775) 684-5000
(775) 687-1181
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NV
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972501021
—
NV
Enumeration date
09/28/2018
Last updated
03/03/2022
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