Haley, Evelyn

Haley, Evelyn is an individual health care provider with primary practice located at 501 Nw Lake Whitney Pl Ste 106 , Port St Lucie FL 34986-1615. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Haley, Evelyn can be contacted via phone (772) 785-8000.

Contact Information

Primary practice address
501 Nw Lake Whitney Pl Ste 106 Port St Lucie FL 34986-1615
Phone: (772) 785-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 56607 West Virginia
Other Service Providers / Midwife 176B00000X 111 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 9313099 Florida

Profile Details

NPI number 1477720381
LBN Legal business name Haley, Evelyn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2008
Last updated Jan 31st, 2020 - about 4 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 1477720381 NPPES
Florida MEDICAID 003243400

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