Individual provider · Type 1 NPI

Laurel Ann Haeusslein, RN, NP

Nurse Practitioner · San Jose, CA

NPI number 1144745712 Active

Practice location

2577 Samaritan Dr Ste 725
San Jose, CA 95124-4105

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95007240 (CA)
Pediatric Registered Nurse 163WP0200X95069832 (CA)
Registered Nurse 163W00000X95069832 (CA)
Pediatric Nurse Practitioner 363LP0200X95007240 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1144745712

Laurel Ann Haeusslein, RN, NP's National Provider Identifier is 1144745712, issued on Aug 4, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Jose, CA. The record was last updated on Apr 27, 2026.