Individual
HAILEY WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1210 10TH AVE, PORT HURON, MI 48060-3406
(810) 662-3505
Mailing address
812 LAPEER AVE STE B, PORT HURON, MI 48060-4480
(810) 650-0644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704278139
MI
Other
Enumeration date
01/03/2022
Last updated
09/16/2022
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