Provider Demographics
NPI:1598457459
Name:PEIF, HAILEY JANETTE (RN)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:JANETTE
Last Name:PEIF
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 1:1117 NW 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-5909
Mailing Address - Country:US
Mailing Address - Phone:970-590-9216
Mailing Address - Fax:
Practice Address - Street 1:1117 NW 19TH AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-5909
Practice Address - Country:US
Practice Address - Phone:970-590-9216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9545752163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine