Individual
MRS. HALEY IVAH WARNEMUENDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3413 WOODS EDGE, OKEMOS, MI 48864-5901
(517) 349-3303
Mailing address
3413 WOODS EDGE, OKEMOS, MI 48864-5901
(517) 349-3303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704321316
MI
363LF0000X
Family Nurse Practitioner
Primary
4704321316
MI
Other
Enumeration date
04/03/2022
Last updated
08/23/2022
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