Provider Demographics
NPI:1730570482
Name:HAAS, DOUGLASS E (APRN-NP)
Entity type:Individual
Prefix:
First Name:DOUGLASS
Middle Name:E
Last Name:HAAS
Suffix:
Gender:M
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2402 UNIVERSITY DRIVE HSEC 253
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68849-4510
Mailing Address - Country:US
Mailing Address - Phone:308-865-8147
Mailing Address - Fax:308-865-8186
Practice Address - Street 1:1201 N ERIE ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NE
Practice Address - Zip Code:68850-1560
Practice Address - Country:US
Practice Address - Phone:308-865-8147
Practice Address - Fax:308-865-8186
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-16
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE111812363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner