Provider Demographics
NPI:1063583714
Name:HALEY, NANCY JAYE
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:JAYE
Last Name:HALEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11120 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-1338
Mailing Address - Country:US
Mailing Address - Phone:907-349-6195
Mailing Address - Fax:
Practice Address - Street 1:9210 JUPITER DRIVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-4332
Practice Address - Country:US
Practice Address - Phone:907-346-2234
Practice Address - Fax:907-346-2601
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider