Doctor Name: | JOANNE HAUGLAND |
NPI Number: | 1306278320 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 306530 |
Business Practice Address: | 145 W Montauk Hwy Hampton Bays, NY - 119462309 |
Business Phone Number: | 6317284700 |
Business Fax Number: | 6317234534 |
Mailing Address: | 145 W Montauk Hwy, HAMPTON BAYS |
State: | NY |
Postal Code: | 119462309 |
Phone Number: | 6317284700 |
Fax Number: | 6317234534 |
NPI Enumeration Date: | 07/31/2013 |
NPI Last Update Date: | 05/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | 306530 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |