Individual
HALEY FAUN WISECUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1102 SOUTHERN HILLS DR STE 101, AMES, IA 50010-8225
(515) 441-8180
Mailing address
1102 SOUTHERN HILLS DR STE 101, AMES, IA 50010-8225
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
127352
IA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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