Healthcare Provider Details

I. General information

NPI: 1598464547
Provider Name (Legal Business Name): HALEY SEYLE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST FL 5
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

1825 4TH ST FL 5
SAN FRANCISCO CA
94143-2350
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-9531
  • Fax: 415-353-2400
Mailing address:
  • Phone: 415-353-9531
  • Fax: 415-353-2400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95022198
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: