Provider Demographics
NPI:1043062458
Name:HIMMELHAVER, HALEY (FNP-C)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:HIMMELHAVER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11019 JORDAN RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4073
Mailing Address - Country:US
Mailing Address - Phone:317-417-5921
Mailing Address - Fax:
Practice Address - Street 1:9690 E 116TH ST
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-2838
Practice Address - Country:US
Practice Address - Phone:317-214-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program