Provider Demographics
NPI:1841332392
Name:HASSE, ANN MARIE (RN, BSN,CDE)
Entity type:Individual
Prefix:MRS
First Name:ANN MARIE
Middle Name:
Last Name:HASSE
Suffix:
Gender:F
Credentials:RN, BSN,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 KARP DR
Mailing Address - Street 2:
Mailing Address - City:ISLIP TERRACE
Mailing Address - State:NY
Mailing Address - Zip Code:11752-2222
Mailing Address - Country:US
Mailing Address - Phone:631-224-5271
Mailing Address - Fax:
Practice Address - Street 1:14 KARP DR
Practice Address - Street 2:
Practice Address - City:ISLIP TERRACE
Practice Address - State:NY
Practice Address - Zip Code:11752-2222
Practice Address - Country:US
Practice Address - Phone:631-224-5271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY425369-1163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator