Provider Demographics
NPI:1043861388
Name:MCNARY, HALEY ROHDE (PA-C)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:ROHDE
Last Name:MCNARY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:SUE
Other - Last Name:ROHDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 N ENGLE RD
Mailing Address - Street 2:
Mailing Address - City:IMLAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48444-9448
Mailing Address - Country:US
Mailing Address - Phone:517-775-2001
Mailing Address - Fax:
Practice Address - Street 1:101 N ENGLE RD
Practice Address - Street 2:
Practice Address - City:IMLAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48444-9448
Practice Address - Country:US
Practice Address - Phone:517-775-2001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant