Healthcare Provider Details

I. General information

NPI: 1295669711
Provider Name (Legal Business Name): HAILEY BROOKE ARRUDA CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 HIGHLAND AVE
FALL RIVER MA
02720-3703
US

IV. Provider business mailing address

7 LEWIS DR
BERKLEY MA
02779-1344
US

V. Phone/Fax

Practice location:
  • Phone: 508-973-5425
  • Fax: 508-973-7146
Mailing address:
  • Phone: 508-272-1154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN2306209
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: