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NPI Code Detail

MEDICARE: HALEY NICOLE PRUE

MEDICARE: HALEY NICOLE PRUE
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
1225A00000XMusic Therapist19935MI

General Provider Information

NPI Number : 1629936489
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY NICOLE PRUE
Provider Business Mailing Address
First Line : 42490 GREEN VALLEY DR APT 304
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48038-3662
Country : US
Telephone Number : 248-646-3347
Fax Number :
Provider Business Practice Location Address
First Line : 1669 W MAPLE RD
Second Line :
City : BIRMINGHAM
State : MI
Zip : 48009-1230
Country : US
Telephone Number : 248-646-3347
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/20/2026

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Directions to “ HALEY NICOLE PRUE ” Practice Location

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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.

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