Provider Demographics
NPI:1194596643
Name:SCHOLL, HAYLIE DANIELLE (RN)
Entity type:Individual
Prefix:
First Name:HAYLIE
Middle Name:DANIELLE
Last Name:SCHOLL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1696 BAY HILL DR
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-1159
Mailing Address - Country:US
Mailing Address - Phone:619-980-3359
Mailing Address - Fax:
Practice Address - Street 1:1696 BAY HILL DR
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92069-1159
Practice Address - Country:US
Practice Address - Phone:619-980-3359
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95354696163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Single Specialty