Provider Demographics
NPI:1316838998
Name:HAANEN, WHITNEY BRIAR (RN,BSN)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:BRIAR
Last Name:HAANEN
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46666 MEDBERY RD
Mailing Address - Street 2:
Mailing Address - City:BROWNS VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56219-4001
Mailing Address - Country:US
Mailing Address - Phone:605-956-0580
Mailing Address - Fax:
Practice Address - Street 1:100 LAKE TRAVERSE DR
Practice Address - Street 2:
Practice Address - City:SISSETON
Practice Address - State:SD
Practice Address - Zip Code:57262-7046
Practice Address - Country:US
Practice Address - Phone:605-698-7606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR048503163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse