Individual
MRS. HALEY DANIELLE UBILLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
200 PATEWOOD DR STE A320, GREENVILLE, SC 29615-6336
(864) 454-5100
(864) 241-9238
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22649
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6639
—
SC
Enumeration date
04/26/2016
Last updated
05/19/2023
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