National Provider Identifier
Stephan Haaquist
Stephan Haaquist is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 368-6700.
Profile Overview
- NPI
- 1194418202
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Enumeration Date
- June 02, 2023
- Last Updated
- August 13, 2024
Practice Location
- 100 Pinewild Dr Ste 2A
- Rochester, NY 14606-4200
Phone: (585) 368-6700
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1194418202
- Entity Type
- Individual
- Last Name
- Haaquist
- First Name
- Stephan
- Name Prefix
- Mr.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 100 Pinewild Dr Ste 2A
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14606-4200
- Practice Country
- US
- Practice Phone
- (585) 368-6700
- Enumeration Date
- June 02, 2023
- Last Updated
- August 13, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 13, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Registered Nurse (163W00000X)