Provider Demographics
NPI:1083675375
Name:HAPP, NANCY ANN (OT R/L)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANN
Last Name:HAPP
Suffix:
Gender:F
Credentials:OT R/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12192
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561-2192
Mailing Address - Country:US
Mailing Address - Phone:252-672-8676
Mailing Address - Fax:252-672-8677
Practice Address - Street 1:3310 NEUSE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4110
Practice Address - Country:US
Practice Address - Phone:252-672-8676
Practice Address - Fax:252-672-8677
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3566225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC130RWOtherBC
NC7301536Medicaid
NC2510961Medicare ID - Type Unspecified