Healthcare Provider Details

I. General information

NPI: 1801423546
Provider Name (Legal Business Name): BREANNE CLAIRE HAYES HANEY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 JOHNSON RD STE 110
WASHINGTON PA
15301-8944
US

IV. Provider business mailing address

1 MEDICAL PARK DRIVE
MORGANTOWN WV
26506-1200
US

V. Phone/Fax

Practice location:
  • Phone: 724-579-7000
  • Fax: 724-579-7001
Mailing address:
  • Phone: 855-988-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number3881
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberOS026087
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: