Individual
LAURA RENEE HAISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1545 N MERIDIAN ST, INDIANAPOLIS, IN 46202-2306
(317) 923-1491
Mailing address
8716 RAY CIR, INDIANAPOLIS, IN 46256-6300
(765) 748-3924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28205531A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012242A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300064843
—
IN
Enumeration date
01/29/2022
Last updated
05/20/2025
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