Provider Demographics
NPI:1417266065
Name:HAUENSTEIN, NAARAH L (MSPA-C)
Entity type:Individual
Prefix:
First Name:NAARAH
Middle Name:L
Last Name:HAUENSTEIN
Suffix:
Gender:F
Credentials:MSPA-C
Other - Prefix:
Other - First Name:NAARAH
Other - Middle Name:L
Other - Last Name:HAUENSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1316 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:IA
Mailing Address - Zip Code:50525-2019
Mailing Address - Country:US
Mailing Address - Phone:515-602-9833
Mailing Address - Fax:319-343-1169
Practice Address - Street 1:215 13TH AVE SW
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:IA
Practice Address - Zip Code:50525-2078
Practice Address - Country:US
Practice Address - Phone:844-474-4321
Practice Address - Fax:515-532-2523
Is Sole Proprietor?:No
Enumeration Date:2010-09-30
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA077269363A00000X
IL085003848363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL214881Medicare Oscar/Certification