Provider Demographics
NPI:1609375922
Name:MCNEE, HAILEY LAUREN
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:LAUREN
Last Name:MCNEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 NAPLES AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-8905
Mailing Address - Country:US
Mailing Address - Phone:479-531-2298
Mailing Address - Fax:
Practice Address - Street 1:2008 NAPLES AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:AR
Practice Address - Zip Code:72745-8905
Practice Address - Country:US
Practice Address - Phone:479-531-2298
Practice Address - Fax:479-531-2298
Is Sole Proprietor?:No
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program