Provider Demographics
NPI:1962189662
Name:FIELDER, HALEY
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:FIELDER
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 1:4615 S 150TH ST
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2307
Mailing Address - Country:US
Mailing Address - Phone:432-528-1218
Mailing Address - Fax:
Practice Address - Street 1:4615 S 150TH ST
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2307
Practice Address - Country:US
Practice Address - Phone:432-528-1218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program