Provider Demographics
NPI:1114499290
Name:WASHINSKY, HAYLEY REBECCA (PA-C)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:REBECCA
Last Name:WASHINSKY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 N TOWN CENTER DR STE 602
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89144-0520
Mailing Address - Country:US
Mailing Address - Phone:702-888-1188
Mailing Address - Fax:702-673-1155
Practice Address - Street 1:653 N TOWN CENTER DR STE 602
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0520
Practice Address - Country:US
Practice Address - Phone:702-888-1188
Practice Address - Fax:702-673-1155
Is Sole Proprietor?:No
Enumeration Date:2018-12-29
Last Update Date:2018-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA2077363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant