Individual
HAYLEY R DEMARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-6589
(414) 294-4516
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11183
WI
363LF0000X
Family Nurse Practitioner
209-028180
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100177916
—
WI
Enumeration date
08/12/2021
Last updated
11/07/2023
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