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NPI Code Detail

MEDICARE: HALEY EVERSMAN

MEDICARE: HALEY EVERSMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1386586519
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY EVERSMAN
Provider Business Mailing Address
First Line : 7801 E HAWTHORNE ST
Second Line :
City : TUCSON
State : AZ
Zip : 85710-1602
Country : US
Telephone Number : 661-326-2000
Fax Number :
Provider Business Practice Location Address
First Line : 1700 MOUNT VERNON AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93306-4018
Country : US
Telephone Number : 661-326-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ HALEY EVERSMAN ” Practice Location

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