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NPI Code Detail

MEDICARE: MS. HALEY GREGORY APRN, NNP-BC

MEDICARE: MS. HALEY GREGORY APRN, NNP-BC
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
1163WN0002XNeonatal Intensive Care Registered Nurse913654TX
2363LN0000XNeonatal Nurse Practitioner1060020TX

General Provider Information

NPI Number : 1922767722
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HALEY GREGORY APRN, NNP-BC
Provider Business Mailing Address
First Line : 6431 FANNIN STREET
Second Line : MSB 3.230
City : HOUSTON
State : TX
Zip : 77030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6411 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-1501
Country : US
Telephone Number : 832-465-0519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2021
Last Update Date : 12/09/2021

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