Healthcare Provider Details

I. General information

NPI: 1356125504
Provider Name (Legal Business Name): HALEY WINGERSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

823 SW MULVANE ST
TOPEKA KS
66606-1764
US

IV. Provider business mailing address

823 SW MULVANE ST
TOPEKA KS
66606-1764
US

V. Phone/Fax

Practice location:
  • Phone: 785-354-9591
  • Fax: 785-368-0478
Mailing address:
  • Phone: 785-354-9591
  • Fax: 785-368-0478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number53-82541
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: