Healthcare Provider Details

I. General information

NPI: 1497633580
Provider Name (Legal Business Name): KATRINA MAE HAIGH NP, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 MARYVILLE UNIVERSITY DR
SAINT LOUIS MO
63141-5849
US

IV. Provider business mailing address

505 E ROMIE LN STE K
SALINAS CA
93901-4031
US

V. Phone/Fax

Practice location:
  • Phone: 800-627-9855
  • Fax:
Mailing address:
  • Phone: 831-422-9066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95036303
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: