Healthcare Provider Details

I. General information

NPI: 1558742866
Provider Name (Legal Business Name): HAYLEY REBECCA MCDANIEL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 09/24/2024
Certification Date: 09/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 HIGHWAY 231 S STE 2
TROY AL
36081-3000
US

IV. Provider business mailing address

495 TAYLOR RD
MONTGOMERY AL
36117-3513
US

V. Phone/Fax

Practice location:
  • Phone: 334-770-4801
  • Fax:
Mailing address:
  • Phone: 334-279-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberARNP9383044
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number1109118
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: