Provider Demographics
NPI:1003486044
Name:STEVENS, HALEY J (APRN-NP, DNP)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:J
Last Name:STEVENS
Suffix:
Gender:F
Credentials:APRN-NP, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 PRESTLEY RD STE 2
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1997
Mailing Address - Country:US
Mailing Address - Phone:412-742-1909
Mailing Address - Fax:855-632-2510
Practice Address - Street 1:347 PRESTLEY RD
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1997
Practice Address - Country:US
Practice Address - Phone:412-742-1909
Practice Address - Fax:855-632-2510
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2214363LA2100X
IAC173406363LP0200X
PASP027528363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care