MEDICARE: HALEY B NELSON FNP, NP-C, APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	5896884-4405	UT

General Provider Information

NPI Number	:	1548557622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY B NELSON FNP, NP-C, APRN

Provider Business Mailing Address
First Line	:	7353 S 2172 W
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84084-3248
Country	:	US
Telephone Number	:	801-703-3257
Fax Number	:

Provider Business Practice Location Address
First Line	:	7353 S 2172 W
Second Line	:
City	:	WEST JORDAN
State	:	UT
Zip	:	84084-3248
Country	:	US
Telephone Number	:	801-703-3257
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2011
Last Update Date	:	10/09/2020

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1023973583 — SERENITY HAVEN PLACE LLC
Practice Location Address:

3329 LONG MEADOW CT
WEST BLOOMFIELD, MI
48324-3248

Practice Phone: 313-708-1138
Practice Fax:

1184732406 — EBRAHIM VERSI M.D.
Practice Location Address:

6585 CITY WEST PKWY
EDEN PRAIRIE, MN
55344-3248

Practice Phone: 908-698-2390
Practice Fax:

1184798605 — REDPHARM DRUG, INC.
Practice Location Address:

6501 CITY WEST PKWY
EDEN PRAIRIE, MN
55344-3248

Practice Phone: 952-653-2525
Practice Fax:

1710206636 — THEDACARE MEDICAL CENTER - SHAWANO, INC.
Practice Location Address:

6501 CITY WEST PKWY
EDEN PRAIRIE, MN
55344-3248

Practice Phone: 715-526-7328
Practice Fax:

1245539832 — INSTYMEDS CORPORATION
Practice Location Address:

6501 CITY WEST PKWY
EDEN PRAIRIE, MN
55344-3248

Practice Phone: 952-653-2525
Practice Fax:

Directions to “ HALEY B NELSON FNP, NP-C, APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.