Provider Demographics
NPI:1558061150
Name:HAUGHTON, RASHAUN (RN BSN)
Entity Type:Individual
Prefix:
First Name:RASHAUN
Middle Name:
Last Name:HAUGHTON
Suffix:
Gender:M
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2037 BROOKDALE PARK DR
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-3847
Mailing Address - Country:US
Mailing Address - Phone:609-300-4471
Mailing Address - Fax:
Practice Address - Street 1:2037 BROOKDALE PARK DR
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-3847
Practice Address - Country:US
Practice Address - Phone:609-300-4471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR17264700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse