Healthcare Provider Details

I. General information

NPI: 1619336856
Provider Name (Legal Business Name): HALEIGH MICHELLE SKAGGS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2016
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 S HIGHLAND ST
WILLIAMSBURG IA
52361-9333
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-668-2722
  • Fax: 319-688-2491
Mailing address:
  • Phone: 319-351-6852
  • Fax: 319-351-2625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA121722
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: