Individual
TREEVA HAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
(928) 263-4794
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
221840
AZ
Other
Enumeration date
01/30/2019
Last updated
10/21/2020
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