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Individual

HALEY KATE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
22915 FAIRLEAF CIR, KATY, TX 77494-7530
(254) 541-0443
Mailing address
22915 FAIRLEAF CIR, KATY, TX 77494-7530
(254) 541-0443

Taxonomy

Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
946028
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1076968
TX

Other

Enumeration date
04/17/2022
Last updated
05/09/2022
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