Provider Demographics
NPI:1861828337
Name:HAUENSTEIN, YVETTE ROCHELLE (RN)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:ROCHELLE
Last Name:HAUENSTEIN
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 1:19697 STATE ROUTE 196
Mailing Address - Street 2:
Mailing Address - City:WAYNESFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45896-9429
Mailing Address - Country:US
Mailing Address - Phone:419-234-1553
Mailing Address - Fax:
Practice Address - Street 1:19697 STATE ROUTE 196
Practice Address - Street 2:
Practice Address - City:WAYNESFIELD
Practice Address - State:OH
Practice Address - Zip Code:45896-9429
Practice Address - Country:US
Practice Address - Phone:419-234-1553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN227811163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse