Provider Demographics
NPI:1427619519
Name:CURRANT, HALEY
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:CURRANT
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 1:4806 BRADLEY ST
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-1254
Mailing Address - Country:US
Mailing Address - Phone:636-544-3878
Mailing Address - Fax:833-491-2722
Practice Address - Street 1:4806 BRADLEY ST
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-1254
Practice Address - Country:US
Practice Address - Phone:636-544-3878
Practice Address - Fax:833-491-2722
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1749133V00000X
TXDT85206133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered