Provider Demographics
NPI:1063007508
Name:BIERHALTER, HAYLEY JEAN (PA-C)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:JEAN
Last Name:BIERHALTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13555 DEERCREEK DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49090-8485
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4700 32ND AVE
Practice Address - Street 2:
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426-8001
Practice Address - Country:US
Practice Address - Phone:616-662-2011
Practice Address - Fax:616-662-2222
Is Sole Proprietor?:No
Enumeration Date:2021-03-06
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant