1083681639

Everything you always wanted to know about HASSE T KATHLEEN RN CS FNP 1 TAYLOR KATHLEEN but were afraid to ask.

HASSE T KATHLEEN RN CS FNP 1 TAYLOR KATHLEEN

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Provider Last Name Provider Middle Name Provider First Name Provider Credential Provider Other Name Type Code Provider Other Last Name Provider Other First Name
HASSE T KATHLEEN RN CS FNP 1 TAYLOR KATHLEEN
Gender:
Female
Enumeration date:
2006-03-02
Last update date:
2008-06-24
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
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Identifiers

identifier description issuer state
001721120 Other MSBCBS WV
500017684 Other RR MEDICARE none
7102090000 Medicaid none WV

Taxonomies

Taxonomy State License Number Primary?
363LF0000X Family OH RN283452 N

Phone Numbers

Type Number
Mailing Address Fax Number 3044223924
Practice Location Address Fax Number 3044223924
Mailing Address Telephone Number 3044228112
Practice Location Address Telephone Number 3044228112

Addresses

Type Address City State Postal Country
Mailing Address 301 SAINT ANDREWS BLVD BELPRE OH 45714 OH
Practice Location Address 2675 36TH ST PARKERSBURG WV 26104 WV

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