Provider Demographics
NPI:1750039301
Name:HASELDEN, CORRINE (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:CORRINE
Middle Name:
Last Name:HASELDEN
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23292 MEADOW STAR PL
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-3153
Mailing Address - Country:US
Mailing Address - Phone:571-639-5961
Mailing Address - Fax:
Practice Address - Street 1:23292 MEADOW STAR PL
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-3153
Practice Address - Country:US
Practice Address - Phone:571-639-5961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach