Individual
HALEY ANN SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2705 N LEBANON ST STE 415, LEBANON, IN 46052-8621
(765) 485-8900
(765) 485-8909
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
28200649A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71010224A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040941
—
IN
Enumeration date
10/04/2019
Last updated
10/11/2023
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