MEDICARE: PATRICIA ANN HAAS APRN-CNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4045960	KY
2	163W00000X	Registered Nurse	1171001	KY
3	163WS0200X	School Registered Nurse	348909	OH
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0030309	OH
5	363L00000X	Nurse Practitioner	APRN.CNP.0030309	OH

General Provider Information

NPI Number	:	1598273419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN HAAS APRN-CNP

Provider Business Mailing Address
First Line	:	3333 BURNET AVENUE
Second Line	:	MLC 3014
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4788
Fax Number	:	513-636-4283

Provider Business Practice Location Address
First Line	:	3333 BURNET AVENUE
Second Line	:	MLC 3014
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4788
Fax Number	:	513-636-4283

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2018
Last Update Date	:	02/09/2026

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