=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437571791
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EMILY ANN HAAS CRNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2014
-----------------------------------------------------
Last Update Date | 01/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1072 MARKET ST
-----------------------------------------------------
City | SUNBURY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17801-2458
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-286-8521
-----------------------------------------------------
Fax | 570-286-6197
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7 DOCK HILL RD
-----------------------------------------------------
City | MIDDLEBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17842-8910
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-837-2123
-----------------------------------------------------
Fax | 570-837-2185
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | SP013536
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------