Provider Demographics
NPI:1134963572
Name:HAUGH, ROBIN R (DNP, RN, WCC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:R
Last Name:HAUGH
Suffix:
Gender:F
Credentials:DNP, RN, WCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 MILL ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:WI
Mailing Address - Zip Code:54634-4251
Mailing Address - Country:US
Mailing Address - Phone:608-293-1234
Mailing Address - Fax:
Practice Address - Street 1:900 VITERBO DR
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-8804
Practice Address - Country:US
Practice Address - Phone:608-796-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-20
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI156092163WW0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WW0000XNursing Service ProvidersRegistered NurseWound Care