IndividualActive
Ann Haack, PA
NPI 1629037130 · Physician Assistant · Casper, WY
Provider details
- NPI number
- 1629037130
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 354 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4140 Centennial Hills Blvd
Ste a
Casper, WY 82609-3265
Phone: (307) 265-7205
Fax: (307) 235-6262
Approximate (ZIP-level) locationGet directions
Mailing address
4140 Centennial Hills Blvd
Casper, WY 82609-3265
Registry dates
- Enumerated
- 2006-03-22
- Last updated
- 2007-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.