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NPI Code Detail

MEDICARE: HALEY MARTIN

MEDICARE:   HALEY  MARTIN
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
13747P1801XPersonal Care AttendantNV

General Provider Information

NPI Number : 1710790407
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY MARTIN
Provider Business Mailing Address
First Line : 1508 E TELEGRAPH ST
Second Line :
City : CARSON CITY
State : NV
Zip : 89701-4436
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1508 E TELEGRAPH ST
Second Line :
City : CARSON CITY
State : NV
Zip : 89701-4436
Country : US
Telephone Number : 775-721-8269
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2025
Last Update Date : 01/28/2025

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Directions to “ HALEY MARTIN ” Practice Location

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