Individual
HALEY STACKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3794 HECKTOWN RD STE 250, EASTON, PA 18045-2355
(484) 546-5800
Mailing address
2530 STEELE LN, EASTON, PA 18040-8618
(570) 212-0726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA061896
PA
363AM0700X
Medical Physician Assistant
Primary
MA061896
PA
Other
Enumeration date
10/06/2020
Last updated
02/25/2025
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