Individual
HALEY DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
550 MEDICAL CENTER DR SW, FORT PAYNE, AL 35968-3418
(256) 845-8885
Mailing address
PO BOX 680199, FORT PAYNE, AL 35968-1603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-117478
AL
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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