Provider Demographics
NPI:1912680455
Name:BICE, HALEY NICHOLE (CRNP)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:NICHOLE
Last Name:BICE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 COUNTY ROAD 2
Mailing Address - Street 2:
Mailing Address - City:MONTEVALLO
Mailing Address - State:AL
Mailing Address - Zip Code:35115-9521
Mailing Address - Country:US
Mailing Address - Phone:205-789-0773
Mailing Address - Fax:
Practice Address - Street 1:107 HEALTH CENTER DR
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-2344
Practice Address - Country:US
Practice Address - Phone:205-810-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-147147363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily