Provider Demographics
NPI:1447870225
Name:HAASE, CAROL ANN (DO)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:HAASE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3399 W OQUENDO RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-3197
Mailing Address - Country:US
Mailing Address - Phone:702-577-1505
Mailing Address - Fax:
Practice Address - Street 1:9159 W FLAMINGO RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-6454
Practice Address - Country:US
Practice Address - Phone:702-485-5885
Practice Address - Fax:888-593-7092
Is Sole Proprietor?:No
Enumeration Date:2020-04-21
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVDO3312207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine