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NPI Code Detail

MEDICARE: MS. CARMELA HAUSSER FNP

MEDICARE: MS. CARMELA HAUSSER FNP
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
1363LF0000XFamily Nurse Practitioner089199AZ

General Provider Information

NPI Number : 1386636199
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CARMELA HAUSSER FNP
Provider Business Mailing Address
First Line : 4510 W EVANS DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-4524
Country : US
Telephone Number : 602-938-9345
Fax Number :
Provider Business Practice Location Address
First Line : 5891 W EUGIE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85304-1252
Country : US
Telephone Number : 602-588-6615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2005
Last Update Date : 07/08/2007

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Directions to “ MS. CARMELA HAUSSER FNP” Practice Location

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