Provider Demographics
NPI:1770890246
Name:HAENSCH, NANCY A (APRN)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:A
Last Name:HAENSCH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 WHITE ST
Mailing Address - Street 2:LITCHFIELD HALL/ HEALTH SERVICE
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6826
Mailing Address - Country:US
Mailing Address - Phone:203-837-8594
Mailing Address - Fax:203-837-8583
Practice Address - Street 1:181 WHITE ST
Practice Address - Street 2:LITCHFIELD HALL/ HEALTH SERVICE
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6826
Practice Address - Country:US
Practice Address - Phone:203-837-8594
Practice Address - Fax:203-837-8583
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004377363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health