Provider Demographics
NPI:1154802320
Name:PAGEL, HALEIGH RAE (ARNP)
Entity type:Individual
Prefix:
First Name:HALEIGH
Middle Name:RAE
Last Name:PAGEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 7TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:TRIPOLI
Mailing Address - State:IA
Mailing Address - Zip Code:50676-9700
Mailing Address - Country:US
Mailing Address - Phone:319-882-3534
Mailing Address - Fax:319-272-3850
Practice Address - Street 1:602 7TH AVE SW
Practice Address - Street 2:
Practice Address - City:TRIPOLI
Practice Address - State:IA
Practice Address - Zip Code:50676-9700
Practice Address - Country:US
Practice Address - Phone:319-882-3534
Practice Address - Fax:319-272-3850
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA136949363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily