Provider Demographics
NPI:1053173963
Name:HAAS, DARCY (RN)
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:
Last Name:HAAS
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 1:8479 N 1000 W
Mailing Address - Street 2:
Mailing Address - City:NEOLA
Mailing Address - State:UT
Mailing Address - Zip Code:84053
Mailing Address - Country:US
Mailing Address - Phone:435-671-2828
Mailing Address - Fax:
Practice Address - Street 1:8479 N 1000 W
Practice Address - Street 2:
Practice Address - City:NEOLA
Practice Address - State:UT
Practice Address - Zip Code:84053-8405
Practice Address - Country:US
Practice Address - Phone:435-671-2828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5038973-3102163WN1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN1003XNursing Service ProvidersRegistered NurseNutrition Support