Smith, Haley Diana
Smith, Haley Diana is an individual health care provider with primary practice located at 802 Avenue J , Marble Falls TX 78654-5125. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Smith, Haley Diana can be contacted via phone (877) 800-5722.Contact Information
Primary practice address
802 Avenue J
Marble Falls TX 78654-5125
Phone: (877) 800-5722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 724898 | Texas |
Profile Details
| NPI number | 1598049728 |
|---|---|
| LBN Legal business name | Smith, Haley Diana |
| Credentials | RN, NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2011 |
| Last updated | Jun 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598049728 | NPPES |
| Texas | Other | 0016SH | BCBS |
| Texas | Other | D07564 | BCBS |
| Texas | Other | P01005507 | BCBS |
| Texas | MEDICAID | 2035487-01 | BCBS |
| Texas | Other | 865N94 | BCBS |
| Texas | MEDICAID | 2874786-01 | BCBS |
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