Individual
MS. MARCY E HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
209 FIRST EXECUTIVE AVE, SAINT PETERS, MO 63376-1697
(636) 936-8777
(636) 939-4257
Mailing address
PO BOX 7412065, CHICAGO, IL 60674-2065
(636) 936-8777
(636) 939-4257
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2011036000
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420082586
—
MO
Enumeration date
11/30/2011
Last updated
04/17/2025
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