Provider Demographics
NPI:1093504797
Name:STONEBRAKER, HALEY
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:STONEBRAKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4430 S ADAMS COUNTY PKWY
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-8222
Mailing Address - Country:US
Mailing Address - Phone:303-200-9200
Mailing Address - Fax:
Practice Address - Street 1:4430 S ADAMS COUNTY PKWY
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-8222
Practice Address - Country:US
Practice Address - Phone:303-363-3018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1684343163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse