Provider Demographics
NPI:1508521030
Name:HAUGEN, MONICA YVONNE
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:YVONNE
Last Name:HAUGEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 2ND AVE S
Mailing Address - Street 2:
Mailing Address - City:CASSELTON
Mailing Address - State:ND
Mailing Address - Zip Code:58012-3519
Mailing Address - Country:US
Mailing Address - Phone:701-200-9602
Mailing Address - Fax:
Practice Address - Street 1:105 2ND AVE S
Practice Address - Street 2:
Practice Address - City:CASSELTON
Practice Address - State:ND
Practice Address - Zip Code:58012-3519
Practice Address - Country:US
Practice Address - Phone:701-200-9602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-31
Last Update Date:2021-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator