Provider Demographics
NPI:1053112359
Name:HAUSER, VANN
Entity type:Individual
Prefix:
First Name:VANN
Middle Name:
Last Name:HAUSER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 W GRACE ST
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-4712
Mailing Address - Country:US
Mailing Address - Phone:352-697-3581
Mailing Address - Fax:
Practice Address - Street 1:402 W GRACE ST
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-4712
Practice Address - Country:US
Practice Address - Phone:352-697-3581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program