Linda Susan Haen
Nurse Practitioner Nurse Practitioner - Obstetrics & Gynecology
2641 Development Drive
Green Bay
, Wisconsin 54311
Linda Susan Haen
Nurse Practitioner Nurse Practitioner - Obstetrics & Gynecology
2641 Development Drive
Green Bay
, Wisconsin 54311
(920) 338-6869
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Obstetrics & Gynecology
Languages spoken
- English
Location
First Address
- Linda Susan Haen
- 2641 Development Drive
- Green Bay, WI
- Zip : 54311
- Fax : (920) 338-6869
- Phone : (920) 338-6868
Second Address
- Linda Susan Haen
- 2641 Development Drive
- Green Bay, WI
- Zip : 54311
- Fax : (920) 338-6869
- Phone : (920) 338-6868
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 74273-30 | WI |
| N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 2066-033 | WI |
| N | 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 2066033 | WI |
National Provider Identifier
| NPI | 1013086271 |
|---|---|
| Provider Name | Linda Susan Haen |
| First Address | Green Bay, WI 54311 |
| Second Address | Green Bay, WI 54311 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/11/2006 |
| Last Update Date | 05/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 43977500 | (05) | WI |
| P73555 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.