Individual
MRS. REBECCA K HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0990
(602) 933-4251
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
269415
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
PENDING
IN
Other
Enumeration date
09/16/2019
Last updated
04/28/2022
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