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Individual

MS. HALEY GREGORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, NNP-BC

Contact information

Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(832) 465-0519
Mailing address
6431 FANNIN STREET, MSB 3.230, HOUSTON, TX 77030

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
913654
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
1060020
TX

Other

Enumeration date
12/09/2021
Last updated
12/09/2021
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