Provider Demographics
NPI:1922327717
Name:HASSKAMP-HOWE, MARY LOUISE (MSN-FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:LOUISE
Last Name:HASSKAMP-HOWE
Suffix:
Gender:F
Credentials:MSN-FNP-BC
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Mailing Address - Street 1:18100 OAKWOOD BLVD
Mailing Address - Street 2:# 207
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-4085
Mailing Address - Country:US
Mailing Address - Phone:313-271-3000
Mailing Address - Fax:313-271-3003
Practice Address - Street 1:14752 NORTHLINE RD
Practice Address - Street 2:
Practice Address - City:SOUTHGATE
Practice Address - State:MI
Practice Address - Zip Code:48195-2698
Practice Address - Country:US
Practice Address - Phone:734-285-5030
Practice Address - Fax:734-285-8223
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704183944363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner