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General NPI Number Information
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NPI Number | 1972674646
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Entity Type | Individual
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Provider Name | LADONNA JOAN HALEY RN MS MN APN CNS PMH
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 1605 EAST GRIFFIN PARKWAY D
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City | MISSION
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State | TX
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Zip | 78572
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Country | US
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Telephone | 956-583-8815
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Fax | 956-583-2436
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Provider Business Mailing Address
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Address Line | PO BOX 3060
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City | MISSION
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State | TX
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Zip | 78573
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Country | US
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Telephone | 956-583-8815
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Fax | 956-583-2436
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | AP106339
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License Number State | TX
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