Shirley, Haley Ann

Shirley, Haley Ann is an individual health care provider with primary practice located at 2705 N Lebanon St Ste 415 , Lebanon IN 46052-8621. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Lactation Consultant, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Shirley, Haley Ann can be contacted via phone (765) 485-8900.

Contact Information

Primary practice address
2705 N Lebanon St Ste 415 Lebanon IN 46052-8621
Phone: (765) 485-8900
Fax: (765) 485-8909
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Lactation Consultant 163WL0100X 28200649A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71010224A Indiana

Profile Details

NPI number 1154962793
LBN Legal business name Shirley, Haley Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2019
Last updated Oct 11th, 2023 - about last year

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 1154962793 NPPES
Indiana MEDICAID 300040941

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