Provider Demographics
NPI:1134873714
Name:HAUGHT, CARRIE LEONNE (RN/DN/CM/ALM)
Entity type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:LEONNE
Last Name:HAUGHT
Suffix:
Gender:F
Credentials:RN/DN/CM/ALM
Other - Prefix:MISS
Other - First Name:CARRIE
Other - Middle Name:LEONNE
Other - Last Name:CRISSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:804 NEW BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RISING SUN
Mailing Address - State:MD
Mailing Address - Zip Code:21911-1110
Mailing Address - Country:US
Mailing Address - Phone:443-350-1861
Mailing Address - Fax:443-526-0090
Practice Address - Street 1:350 BROAD ST
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MD
Practice Address - Zip Code:21903-2807
Practice Address - Country:US
Practice Address - Phone:443-350-1861
Practice Address - Fax:443-526-0090
Is Sole Proprietor?:No
Enumeration Date:2022-02-11
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR174062163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management