Provider Demographics
NPI:1841863404
Name:HASEN, RUT DINO
Entity type:Individual
Prefix:
First Name:RUT
Middle Name:DINO
Last Name:HASEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 CRITTENDEN ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-3922
Mailing Address - Country:US
Mailing Address - Phone:202-582-9996
Mailing Address - Fax:410-946-2010
Practice Address - Street 1:813 CRITTENDEN ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3922
Practice Address - Country:US
Practice Address - Phone:202-582-9996
Practice Address - Fax:410-946-2010
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00194373376K00000X
DCA00194373376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide