Provider Demographics
NPI:1982309472
Name:HAHN, HALEY (RN)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:HAHN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N RIVER ST
Mailing Address - Street 2:
Mailing Address - City:HANSTON
Mailing Address - State:KS
Mailing Address - Zip Code:67849-9403
Mailing Address - Country:US
Mailing Address - Phone:620-393-5110
Mailing Address - Fax:
Practice Address - Street 1:201 N RIVER ST
Practice Address - Street 2:
Practice Address - City:HANSTON
Practice Address - State:KS
Practice Address - Zip Code:67849-9403
Practice Address - Country:US
Practice Address - Phone:620-393-5110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-108776-071163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy