Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 95015879 | CA |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 95015879 | CA |
NPI | 1528650074 |
---|---|
Provider Name | Christine Laura Haungs |
First Address | San Francisco, CA 94114-1010 |
Second Address | San Francisco, CA 94114-1010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2021 |
Last Update Date | 16/02/2021 |