NPI | 1467893701 |
---|---|
Former Name | REBECCA L HAUSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2319505) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 658448) |
163W00000X Registered Nurse (Licence: NC 270864) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5007098) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382474) | |
Enumeration Date | 2013-07-15 |
Last Update Date | 2023-07-06 |