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Contact Information

KATHRYN A HAACK, ARNP - FNP-C
2720 STONE PARK BLVD
SUITE 110
SIOUX CITY, IA51102
 Phone: 712-239-4702
 Fax: 712-239-0616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATHRYN A HAACK · (Female)

NPI Number 1225118078
Status Active
Credentials ARNP - FNP-C
Entity Individual
Enumeration date 10/16/2006
Last updated 07/06/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IA License # A-055923
  • IA License # A055923
  • IA Medicaid 0092080
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    2720 STONE PARK BOULEVARD
    SIOUX CITY, IA 51104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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