Individual
KATIE HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
30 RONNIES PLZ, SAINT LOUIS, MO 63126-3552
(314) 989-6807
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2019037093
MO
363LF0000X
Family Nurse Practitioner
Primary
2019037093
MO
Other
Enumeration date
09/25/2019
Last updated
02/02/2022
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