Healthcare Provider Details

I. General information

NPI: 1891615308
Provider Name (Legal Business Name): NATALIA JEAN HALLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 DOLBEER ST
EUREKA CA
95501-4736
US

IV. Provider business mailing address

2700 DOLBEER ST
EUREKA CA
95501-4736
US

V. Phone/Fax

Practice location:
  • Phone: 707-269-4229
  • Fax: 707-269-3849
Mailing address:
  • Phone: 707-269-4229
  • Fax: 707-269-3849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SX0200X
TaxonomyOncology Clinical Nurse Specialist
License Number95022677
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: