Healthcare Provider Details

I. General information

NPI: 1184273765
Provider Name (Legal Business Name): HALEY CATHERINE PLOTTS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2019
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 BUCKAROO LN
BELLEFONTE PA
16823-9120
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 814-353-1030
  • Fax: 814-353-1053
Mailing address:
  • Phone: 814-353-1030
  • Fax: 814-353-1053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA060692
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: