Provider Demographics
NPI:1518746619
Name:HOLLOWAY, HALEY MARIE (RN)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:MARIE
Last Name:HOLLOWAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31739 STEPHEN DR
Mailing Address - Street 2:
Mailing Address - City:DAGSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19939-4114
Mailing Address - Country:US
Mailing Address - Phone:302-212-9755
Mailing Address - Fax:
Practice Address - Street 1:36908 SILICATO DR UNIT 11
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-5006
Practice Address - Country:US
Practice Address - Phone:302-947-5667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0071289163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse