Individual
DR. MAULAH HALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, PHN, NEA-BC
Contact information
Practice address
19220 138TH AVE N, ROGERS, MN 55374-5513
(763) 520-8665
(763) 520-8672
Mailing address
19220 138TH AVE N, ROGERS, MN 55374-5513
(763) 442-4885
(763) 520-8672
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
1475126
MN
163WH0200X
Home Health Registered Nurse
Primary
1475126
MN
Other
Enumeration date
11/20/2023
Last updated
06/07/2024
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