Provider Demographics
NPI:1821129388
Name:HASKINS, SHELLEY AILEEN (RN)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:AILEEN
Last Name:HASKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SHELLEY HASKINS 10B JAHNSTR
Mailing Address - Street 2:
Mailing Address - City:HOHENFELS
Mailing Address - State:BAVARIA
Mailing Address - Zip Code:09173
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HOHENFELS CLINIC
Practice Address - Street 2:
Practice Address - City:HOHENFELS
Practice Address - State:BAVARIA
Practice Address - Zip Code:09173 9216
Practice Address - Country:DE
Practice Address - Phone:0947-283-2502
Practice Address - Fax:
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
TX541908163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator