Individual
WHITNEY HAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
(618) 242-4600
Mailing address
6418 W PARK AVE, SAINT LOUIS, MO 63139-3438
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209029849
IL
Other
Enumeration date
05/01/2024
Last updated
07/19/2024
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