Provider Demographics
NPI:1376316695
Name:HARDING, HAILEY SINGLETON (PA)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:SINGLETON
Last Name:HARDING
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4819 LANGE LN
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-3434
Mailing Address - Country:US
Mailing Address - Phone:540-397-0060
Mailing Address - Fax:
Practice Address - Street 1:4819 LANGE LN
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3434
Practice Address - Country:US
Practice Address - Phone:540-397-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant