Provider Demographics
NPI:1841685237
Name:HASELHUHN, TARYN (CRNP)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:HASELHUHN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 ORLEANS ST
Mailing Address - Street 2:JOHNS HOPKINS SPECIALTY CLINIC AT BLALOCK 319
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0010
Mailing Address - Country:US
Mailing Address - Phone:443-287-9600
Mailing Address - Fax:443-287-0141
Practice Address - Street 1:1800 ORLEANS ST
Practice Address - Street 2:JOHNS HOPKINS SPECIALTY CLINIC AT BLALOCK 319
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0010
Practice Address - Country:US
Practice Address - Phone:443-287-9600
Practice Address - Fax:443-287-0141
Is Sole Proprietor?:No
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR177672363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology