Provider Demographics
NPI:1144870239
Name:HASZ, DANYELLE
Entity type:Individual
Prefix:
First Name:DANYELLE
Middle Name:
Last Name:HASZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DANYELLE
Other - Middle Name:
Other - Last Name:MAXINOSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DANYELLE HASZ, APNP
Mailing Address - Street 1:630 S CENTRAL AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-4138
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:630 S CENTRAL AVE STE 700
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-4138
Practice Address - Country:US
Practice Address - Phone:715-221-5714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-19
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9393-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily