Individual
ANNETTE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3580
(207) 879-3353
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3580
(207) 879-3353
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R038099
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432558399
—
ME
01
—
DC0798
RAILROAD MEDICARE
ME
Enumeration date
05/19/2006
Last updated
06/10/2013
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