Individual provider · Type 1 NPI

Laurie Hasken

Obstetrics & Gynecology Nurse Practitioner · Rockford, IL

NPI number 1801272836 Active

Practice location

209 9th St, Suite 200
Rockford, IL 61104

Fax (779) 696-4196

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0411232777 (IL)
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001X209013150 (IL)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1801272836

Laurie Hasken's National Provider Identifier is 1801272836, issued on Jul 31, 2015. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Rockford, IL. The record was last updated on Feb 19, 2021.