Individual
MIRANDA C HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
117 CAMINO DE VIDA, SUITE 300, SANTA ROSA, NM 88435-2267
(575) 472-4311
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2014-0107
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96507021
—
NM
Enumeration date
06/22/2011
Last updated
08/13/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us