Provider Demographics
NPI:1437532132
Name:HAAR, CARRIE JO (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:JO
Last Name:HAAR
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 VALLEY VIEW TRL
Mailing Address - Street 2:PO BOX 438
Mailing Address - City:BAKER
Mailing Address - State:MT
Mailing Address - Zip Code:59313-9070
Mailing Address - Country:US
Mailing Address - Phone:406-941-1280
Mailing Address - Fax:
Practice Address - Street 1:202 S 4TH ST W
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:MT
Practice Address - Zip Code:59313-9156
Practice Address - Country:US
Practice Address - Phone:406-778-2833
Practice Address - Fax:406-778-5355
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR33400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily