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Joanna Kae Haag, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Maryville, Illinois
NPI 1760052310

Joanna Kae Haag is a Psychiatric/Mental Health Nurse Practitioner based in Maryville, IL and is specialized in Psychiatric/Mental Health. Joanna Kae Haag practices in Maryville, IL and has the professional credentials of PMHNP. The NPI Number for Joanna Kae Haag is 1760052310 and holds a License No. 2021032483 (Illinois).

The current practice location address for Joanna Kae Haag is 6805 State Route 162 Ste 201, Maryville, IL and can be reached out via phone at 618-288-5019.

Location: 6805 State Route 162 Ste 201, Maryville, IL, 62062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760052310
Provider Name
Joanna Kae Haag
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
6805 State Route 162 Ste 201, Maryville, IL, 62062
Phone Number
618-288-5019
Fax Number
Provider Enumeration Date
06/27/2021
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
6805 State Route 162 Ste 201
City
Maryville
State
Illinois
Zip
62062-8530
Phone Number
618-288-5019
Fax Number
person
Provider Business Mailing Address Details
Address
6805 State Route 162 Ste 201
City
Maryville
State
Illinois
Zip
62062-8530
Phone Number
618-288-5019
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2021032483 (Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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