Individual provider · Type 1 NPI
Taylor Rose Haack
Nurse Practitioner · Hayward, WI
Practice location
15891 W Jenny Ln
Hayward, WI 54843-2594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 18794-33 (WI) |
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 1164344065
Taylor Rose Haack's National Provider Identifier is 1164344065, issued on Jul 29, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hayward, WI. The record was last updated on Jul 29, 2026.