Individual
PATRICIA K HAEBERLE
Active
Individual
PATRICIA K HAEBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
17754
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6015797
BLUE CROSS-BLUE SHIELD
TN
01
—
P01333431
RR MEDICARE
TN
05
—
Q004691
—
TN
Enumeration date
08/31/2006
Last updated
02/20/2017
Update your record
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