Haley, Shirley Catherine

Haley, Shirley Catherine is an individual health care provider with primary practice located at 328 N 2Nd St Ste 205, Vincennes IN 47591. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Haley, Shirley Catherine can be contacted via phone (812) 895-8000.

Contact Information

Primary practice address
328 N 2Nd St Ste 205 Vincennes IN 47591
Fax: (812) 895-8006
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000028A Indiana

Profile Details

NPI number 1265637292
LBN Legal business name Haley, Shirley Catherine
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Feb 16th, 2009 - about 15 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 1265637292 NPPES
Indiana MEDICAID 200442400

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