Healthcare Provider Details

I. General information

NPI: 1306228945
Provider Name (Legal Business Name): HALEY AHLERING BECKLER RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2015
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N PEPPER AVE
COLTON CA
92324-1801
US

IV. Provider business mailing address

439 GUM PL
BREA CA
92821-3311
US

V. Phone/Fax

Practice location:
  • Phone: 909-580-2440
  • Fax:
Mailing address:
  • Phone: 714-686-6877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number95000407
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: