Nicole Marie Haas | Milwaukee, WI • PECOS Search

Nicole Marie Haas

Social Worker

Behavioral Health & Social Service Providers

5000 W National Ave, Milwaukee, WI 53295-0001

(414) 384-2000 (414) 647-2314

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole Marie Haas does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1316951536
Provider Type
Individual
Full Name
Haas, Nicole Marie
Gender
Female

Sole Proprietor
No
Enumeration Date
7/27/2006
Last Updated
7/8/2007

Contact Information

Practice Location

5000 W National Ave, Milwaukee, WI 53295-0001

(414) 389-4161

Mailing Location

4513 W Westchester Sq, West Milwaukee, WI 53214-3642

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 1817121 Wisconsin