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Individual

HALEY K SOUTHWICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10040 ALTA DR STE 100B, LAS VEGAS, NV 89145-8630
(702) 960-1561
Mailing address
1701 N LOIS AVE UNIT 151, TAMPA, FL 33607-2353
(702) 285-3418

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
871230
NV

Other

Enumeration date
05/18/2022
Last updated
03/04/2024
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