Individual provider · Type 1 NPI

Theresa Marie Haase, SRNA

Student in an Organized Health Care Education/Training Program · Edwardsville, IL

NPI number 1831028513 Active

Practice location

1 Hairpin Drive
Edwardsville, IL 62026-0001

Call (618) 650-3957 Map

Mailing address

120 Merryfield Cir
St. Charles, MO 63303-6540

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1831028513

Theresa Marie Haase, SRNA's National Provider Identifier is 1831028513, issued on May 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edwardsville, IL. The record was last updated on May 18, 2026.