Provider Demographics
NPI:1407536352
Name:SAMPSELL, HALEY ELIZABETH (PA-C)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:ELIZABETH
Last Name:SAMPSELL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:ELIZABETH
Other - Last Name:CHERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2300 S HOUGHTON RD STE 240
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85748-0002
Mailing Address - Country:US
Mailing Address - Phone:814-657-2346
Mailing Address - Fax:
Practice Address - Street 1:2300 S HOUGHTON RD STE 240
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85748-0002
Practice Address - Country:US
Practice Address - Phone:530-052-0885
Practice Address - Fax:520-885-5309
Is Sole Proprietor?:No
Enumeration Date:2023-07-24
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9780363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant