Provider Demographics
NPI:1326092545
Name:HASMAN, JOANNE PATSYNSKI (CNM)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:PATSYNSKI
Last Name:HASMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 MONROE ST
Mailing Address - Street 2:106
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-1715
Mailing Address - Country:US
Mailing Address - Phone:410-280-3153
Mailing Address - Fax:410-626-8805
Practice Address - Street 1:1454 BALTIMORE ANNAPOLIS BLVD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2455
Practice Address - Country:US
Practice Address - Phone:410-626-8982
Practice Address - Fax:410-626-8805
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR153660367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD235290700Medicaid
104NMedicare ID - Type Unspecified
R07138Medicare UPIN