Individual
HALEY RENEE FLANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
630 S FLEISHEL AVE, TYLER, TX 75701-2041
(903) 606-5560
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 606-6400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP142623
TX
363LA2100X
Acute Care Nurse Practitioner
AP142623
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407292802
—
TX
01
—
AP142623
TEXAS BON
TX
Enumeration date
10/09/2019
Last updated
10/24/2023
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