Provider Demographics
NPI:1366043580
Name:ERNST, HALEY MARIE (CNM)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:MARIE
Last Name:ERNST
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 MIRA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1561
Mailing Address - Country:US
Mailing Address - Phone:559-801-7829
Mailing Address - Fax:
Practice Address - Street 1:2203 MIRA VISTA AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1561
Practice Address - Country:US
Practice Address - Phone:559-801-7829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife