Provider Demographics
NPI:1598907255
Name:HENDRIX, HALEY MARGARET (NP)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:MARGARET
Last Name:HENDRIX
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:MARGARET
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1350 S ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93702-3463
Mailing Address - Country:US
Mailing Address - Phone:559-457-5400
Mailing Address - Fax:559-457-5490
Practice Address - Street 1:1350 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93702-3463
Practice Address - Country:US
Practice Address - Phone:559-457-5400
Practice Address - Fax:559-457-5490
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95141940163W00000X
NYF335846-1363LF0000X
CA95007395207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily