Individual provider · Type 1 NPI

Stephen Glenn Haubrock, NP

Nurse Practitioner · Fairfield, OH

NPI number 1447847389 Active

Practice location

2990 Mack Rd Ste 107
Fairfield, OH 45014-5384

Mailing address

6558 Partridge Way
Mason, OH 45040-7009

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0027935 (OH)

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 1447847389

Stephen Glenn Haubrock, NP's National Provider Identifier is 1447847389, issued on Dec 27, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fairfield, OH. The record was last updated on Dec 27, 2020.