Healthcare Provider Details

I. General information

NPI: 1023979226
Provider Name (Legal Business Name): HAYLEIGH ELIZABETH GROENENDAAL CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HAYLEIGH ELIZABETH HINES

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3124 WILMINGTON RD STE 401
NEW CASTLE PA
16105-1100
US

IV. Provider business mailing address

3124 WILMINGTON RD STE 401
NEW CASTLE PA
16105-1100
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-3020
  • Fax:
Mailing address:
  • Phone: 724-658-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP034193
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: