Haley, Annette
Haley, Annette is an individual health care provider with primary practice located at 144 State St , Portland ME 04101-3776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Haley, Annette can be contacted via phone (207) 879-3580.Contact Information
Primary practice address
144 State St
Portland ME 04101-3776
Phone: (207) 879-3580
Fax: (207) 879-3353
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R038099 | Maine |
Profile Details
NPI number | 1487607396 |
---|---|
LBN Legal business name | Haley, Annette |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 19th, 2006 |
Last updated | Jun 10th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487607396 | NPPES |
Maine | MEDICAID | 432558399 | |
Maine | Other | DC0798 |
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