Individual
HALEY MAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9730 W SMITH ST, YORKTOWN, IN 47396-1199
(765) 722-6130
Mailing address
9730 W SMITH ST, YORKTOWN, IN 47396-1199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005829A
IN
Other
Enumeration date
09/15/2015
Last updated
05/18/2022
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