Provider Demographics
NPI:1093290397
Name:PILKINGTON, HALEY
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:PILKINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14805 CASTELAR CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2056
Mailing Address - Country:US
Mailing Address - Phone:402-312-1220
Mailing Address - Fax:
Practice Address - Street 1:7802 HASCALL ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3413
Practice Address - Country:US
Practice Address - Phone:402-390-6495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program