Provider Demographics
NPI:1669364584
Name:WEST, HALEY MICAELA (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:MICAELA
Last Name:WEST
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HOSPITAL DR STE 190A
Mailing Address - Street 2:
Mailing Address - City:CORSICANA
Mailing Address - State:TX
Mailing Address - Zip Code:75110-2471
Mailing Address - Country:US
Mailing Address - Phone:903-229-4292
Mailing Address - Fax:903-229-4288
Practice Address - Street 1:301 HOSPITAL DR STE 190A
Practice Address - Street 2:
Practice Address - City:CORSICANA
Practice Address - State:TX
Practice Address - Zip Code:75110-2471
Practice Address - Country:US
Practice Address - Phone:903-229-4292
Practice Address - Fax:903-229-4288
Is Sole Proprietor?:No
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1204808363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily