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1043015704 NPI number — HALEY JANE KREGEL FNP

NPI Number: 1043015704
Health Care Provider/Practitioner: HALEY JANE KREGEL FNP

Information about “1043015704” NPI (HALEY JANE KREGEL FNP) exists in 1043015704 in HTML format HTML  |  1043015704 in plain Text format TXT  |  1043015704 in PDF (Portable Document Format) PDF  |  1043015704 in an XML format XML  formats.

NPI Number : 1043015704 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043015704",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KREGEL",
    "FirstName": "HALEY",
    "MiddleName": "JANE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "FNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BRINKS",
    "OtherFirstName": "HALEY",
    "OtherMiddleName": "JANE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "FNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "100 MICHIGAN ST NE # MC845",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND RAPIDS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49503-2560",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8501 MEADOW CRK",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKFORD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49341-7524",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "616-825-7625",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/17/2025",
    "LastUpdateDate": "08/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": "4704362877",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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