Individual
CARRIE J HAASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1136 WESTOWNE DR, NEENAH, WI 54956-2175
(920) 720-8200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8550
WI
363LF0000X
Family Nurse Practitioner
8550
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080426
—
WI
Enumeration date
07/24/2018
Last updated
08/13/2024
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