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
Phone: (812) 895-8000
Fax: (812) 895-8006
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265637292 | NPPES |
| Indiana | MEDICAID | 200442400 |
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