Individual provider · Type 1 NPI

Stephan Haaquist

Psychiatric/Mental Health Nurse Practitioner · Rochester, NY

NPI number 1194418202 Active

Practice location

100 Pinewild Dr Ste 2A
Rochester, NY 14606-4200

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice locations

  • 1381 E Ridge Rd Ste 5, Rochester, NY 14621-2019 · (585) 922-2500
  • 600 Arthur St, Knoxville, TN 37921-6405 · (865) 523-8695
  • 224 Alexander St Ste 100, Rochester, NY 14607-4000 · (585) 922-7770

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X405724 (NY)
Registered Nurse 163W00000X221782 (TN)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X34381 (TN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1194418202

Stephan Haaquist's National Provider Identifier is 1194418202, issued on Jun 2, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rochester, NY. The record was last updated on Jul 30, 2026.