Provider Demographics
NPI:1114170875
Name:HASEN, PATRICIA CHRISTINE (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:CHRISTINE
Last Name:HASEN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 555191
Mailing Address - Street 2:31 AREA BRANCH MEDICAL CLINIC
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055-5191
Mailing Address - Country:US
Mailing Address - Phone:760-725-7135
Mailing Address - Fax:760-725-6668
Practice Address - Street 1:31 AREA BRANCH MEDICAL CLINIC
Practice Address - Street 2:
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055-5191
Practice Address - Country:US
Practice Address - Phone:760-725-7135
Practice Address - Fax:760-725-6668
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500989363LF0000X, 364SE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SE0003XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistEmergency