Provider Demographics
NPI:1316704752
Name:MORRIS-NICHOLL, HALEY NICOLE (DOULA, IBCLC)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:NICOLE
Last Name:MORRIS-NICHOLL
Suffix:
Gender:F
Credentials:DOULA, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7785 SIERRA DR
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-9520
Mailing Address - Country:US
Mailing Address - Phone:916-580-9172
Mailing Address - Fax:
Practice Address - Street 1:5440 LAUREL HILLS DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95841-3106
Practice Address - Country:US
Practice Address - Phone:916-344-1860
Practice Address - Fax:916-344-1862
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-314141174N00000X
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Multi-Specialty