Healthcare Provider Details

I. General information

NPI: 1629737317
Provider Name (Legal Business Name): MELANIE MARIE HAAK CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 LOCUST AVE
DANBURY CT
06810-6032
US

IV. Provider business mailing address

94 LOCUST AVE
DANBURY CT
06810-6032
US

V. Phone/Fax

Practice location:
  • Phone: 203-748-6000
  • Fax:
Mailing address:
  • Phone: 203-748-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number534
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number624
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60488421
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP61306810
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: