Provider Demographics
NPI:1902538242
Name:HALEY, ESTHER NICORY (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:NICORY
Last Name:HALEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3102 SPRING OAK PL
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-2537
Mailing Address - Country:US
Mailing Address - Phone:563-940-1437
Mailing Address - Fax:
Practice Address - Street 1:6913 CAMP BOWIE BLVD STE 141
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-7165
Practice Address - Country:US
Practice Address - Phone:817-560-4540
Practice Address - Fax:817-560-4547
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF05220334363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily