MEDICARE: HALEY HOWELL

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	71015468A	IN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	322561	AZ

General Provider Information

NPI Number	:	1639915085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY HOWELL

Provider Business Mailing Address
First Line	:	2850 N COUNTRY CLUB RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-1910
Country	:	US
Telephone Number	:	520-322-6274
Fax Number	:

Provider Business Practice Location Address
First Line	:	6303 E TANQUE VERDE RD STE 210
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85715-3859
Country	:	US
Telephone Number	:	520-423-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2024
Last Update Date	:	02/09/2026

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Directions to “ HALEY HOWELL ” Practice Location

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