MEDICARE: ALYSSA G HAUFF CRNP- BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP023707	PA
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.0032170	OH

General Provider Information

NPI Number	:	1982288627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA G HAUFF CRNP- BC

Provider Business Mailing Address
First Line	:	111 NEW HAMPSHIRE AVE STE 2
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-2864
Country	:	US
Telephone Number	:	330-947-6021
Fax Number	:

Provider Business Practice Location Address
First Line	:	8183 GOLDEN LINK BLVD
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44067-2015
Country	:	US
Telephone Number	:	330-778-1278
Fax Number	:	330-525-9009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2021
Last Update Date	:	03/18/2025

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