Cannady, Haley Brooke

Cannady, Haley Brooke is an individual health care provider with primary practice located at 109 Omni Dr Ste B , Seneca SC 29672-9448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cannady, Haley Brooke can be contacted via phone (864) 888-4222.

Contact Information

Primary practice address
109 Omni Dr Ste B Seneca SC 29672-9448
Phone: (864) 888-4222
Fax: (864) 888-0023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20549 South Carolina

Profile Details

NPI number 1093258527
LBN Legal business name Cannady, Haley Brooke
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2016
Last updated May 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093258527 NPPES
South Carolina MEDICAID NP4274

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