Provider Demographics
NPI:1437798733
Name:STUART, HALEY W (NP-C)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:W
Last Name:STUART
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 MYNATT ST SW STE E
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-2878
Mailing Address - Country:US
Mailing Address - Phone:256-773-2979
Mailing Address - Fax:256-773-2986
Practice Address - Street 1:615 MYNATT ST SW STE E
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2878
Practice Address - Country:US
Practice Address - Phone:256-773-2979
Practice Address - Fax:256-773-2986
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-127149207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine