Individual
HALEY WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4825 MACCORKLE AVE SW STE F, SOUTH CHARLESTON, WV 25309-1365
(304) 346-9667
(304) 346-9717
Mailing address
1987 LONGMEADOW DR, CHARLESTON, WV 25320-9523
(304) 531-3323
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
39756
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
WV
01
—
568946544
BCBS
WV
01
—
5874
HEALTH PARTNERS
WV
Enumeration date
06/20/2023
Last updated
06/20/2023
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