Individual
HALEY BROOKE CANNADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
109 OMNI DR STE B, SENECA, SC 29672-9448
(864) 888-4222
(864) 888-0023
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20549
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4274
—
SC
Enumeration date
12/01/2016
Last updated
05/19/2021
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