Individual
EVELYN HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M
Contact information
Practice address
501 NW LAKE WHITNEY PL STE 106, PORT ST LUCIE, FL 34986-1615
(772) 785-8000
Mailing address
3441 SE WILLOUGHBY BLVD, STUART, FL 34994-5060
(772) 219-1223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
56607
WV
176B00000X
Midwife
111
WV
367A00000X
Advanced Practice Midwife
Primary
9313099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003243400
—
FL
Enumeration date
05/09/2008
Last updated
01/31/2020
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