Provider Demographics
NPI:1376062703
Name:HASPER, CRAIG JACOB (CRNP)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:JACOB
Last Name:HASPER
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
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Mailing Address - Street 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:814-223-9914
Mailing Address - Fax:814-223-9917
Practice Address - Street 1:30 PINNACLE DR
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-3800
Practice Address - Country:US
Practice Address - Phone:814-223-9914
Practice Address - Fax:814-223-9917
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP015443363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health