Provider Demographics
NPI:1457680936
Name:HAAS, CHARLOTTE CAROLYN (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:CAROLYN
Last Name:HAAS
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1637
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53201-1637
Mailing Address - Country:US
Mailing Address - Phone:414-807-6785
Mailing Address - Fax:
Practice Address - Street 1:6107 W LISBON AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-2125
Practice Address - Country:US
Practice Address - Phone:414-807-6785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula