Provider Demographics
NPI:1790170975
Name:HASLE, CATHARINE (RN, CDE)
Entity Type:Individual
Prefix:MS
First Name:CATHARINE
Middle Name:
Last Name:HASLE
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23508-1408
Mailing Address - Country:US
Mailing Address - Phone:951-760-8470
Mailing Address - Fax:
Practice Address - Street 1:800 BATTLEFIELD BLVD N
Practice Address - Street 2:DIABETES CENTER
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4802
Practice Address - Country:US
Practice Address - Phone:757-312-5273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA699705163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse