Individual
NICHOLE B HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
1016 TOWN DRIVE, WILDER, KY 41076
(859) 441-7600
(859) 441-7144
Mailing address
1016 TOWN DRIVE, WILDER, KY 41076
(859) 441-7600
(859) 441-7144
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4003617
KY
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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