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NPI Code Detail

MEDICARE: HAILEY MARVEL

MEDICARE: HAILEY MARVEL
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
1363L00000XNurse Practitioner71017181AIN

General Provider Information

NPI Number : 1720952591
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEY MARVEL
Provider Business Mailing Address
First Line : 44 S 24TH ST
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47803-1802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1332 N 7TH ST
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47807-1004
Country : US
Telephone Number : 812-478-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2025
Last Update Date : 10/03/2025

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Directions to “ HAILEY MARVEL ” 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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