Provider Demographics
NPI:1689705808
Name:HANEY, DEBORAH ONSTAD (RNC, NP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ONSTAD
Last Name:HANEY
Suffix:
Gender:F
Credentials:RNC, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 60 1/2 AVE.N
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55428-1706
Mailing Address - Country:US
Mailing Address - Phone:763-533-8896
Mailing Address - Fax:
Practice Address - Street 1:4915 42ND AVE N
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-1730
Practice Address - Country:US
Practice Address - Phone:763-533-1316
Practice Address - Fax:763-531-0315
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 117718-1363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health