Individual
DIANE HUBERTZ HAUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
500 SE OSCEOLA ST, SUITE 100, STUART, FL 34994-2364
(772) 286-1550
(772) 221-0569
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-2832
(772) 223-5665
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2999642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013012400
—
FL
01
—
Y063E
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/24/2006
Last updated
07/08/2016
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