Provider Demographics
NPI:1083675375
Name:HAPP, NANCY ANN (OT R/L)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANN
Last Name:HAPP
Suffix:
Gender:F
Credentials:OT R/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 12192
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561-2192
Mailing Address - Country:US
Mailing Address - Phone:252-672-8676
Mailing Address - Fax:252-672-8677
Practice Address - Street 1:2805B TRENT RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2029
Practice Address - Country:US
Practice Address - Phone:252-672-8676
Practice Address - Fax:252-672-8677
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3566225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7301536Medicaid
NC130RWOtherBC
NC2510961Medicare ID - Type Unspecified