Provider Demographics
NPI:1093271884
Name:WORGAN, HALEY S (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:S
Last Name:WORGAN
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 HINESBURG RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6534
Mailing Address - Country:US
Mailing Address - Phone:802-734-3847
Mailing Address - Fax:
Practice Address - Street 1:241 HINESBURG RD
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6534
Practice Address - Country:US
Practice Address - Phone:802-734-3847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-16
Last Update Date:2022-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTL-307716163WL0100X
VT026.0143840163WN0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant