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General NPI Number Information
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NPI Number | 1447870225
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Entity Type | Individual
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Provider Name | CAROL ANN HAASE DO
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Gender | Female
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Dates
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Enumeration Date | 04/21/2020
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 9159 W FLAMINGO RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89147-6454
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Country | US
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Telephone | 702-485-5885
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Fax | 702-487-8838
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Provider Business Mailing Address
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Address Line | 3399 W OQUENDO RD
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City | LAS VEGAS
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State | NV
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Zip | 89118-3197
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Country | US
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Telephone | 702-577-1505
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Fax | 702-487-8838
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO3312
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License Number State | NV
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