Provider Demographics
NPI:1972103505
Name:WARTHMAN, HALEY L (NP)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:L
Last Name:WARTHMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 SELLS RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3461
Mailing Address - Country:US
Mailing Address - Phone:740-654-7077
Mailing Address - Fax:
Practice Address - Street 1:282 SELLS RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3461
Practice Address - Country:US
Practice Address - Phone:740-654-7077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-01
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.391922163W00000X
OHAPRN.CNP.0030537363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse