Provider Demographics
NPI:1205886694
Name:HAIG, CAROL LOIS (CNM,MSN,WHNP)
Entity type:Individual
Prefix:MISS
First Name:CAROL
Middle Name:LOIS
Last Name:HAIG
Suffix:
Gender:F
Credentials:CNM,MSN,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 14TH ST
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-2725
Mailing Address - Country:US
Mailing Address - Phone:831-645-9874
Mailing Address - Fax:831-242-6719
Practice Address - Street 1:473 CABRILLO ST
Practice Address - Street 2:US ARMY HEALTH CLINIC
Practice Address - City:PRESIDIO OF MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93944-3201
Practice Address - Country:US
Practice Address - Phone:831-242-4331
Practice Address - Fax:831-242-6719
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002217363LW0102X
CT000181367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Not Answered367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS40762Medicare UPIN