Provider Demographics
NPI:1619526266
Name:HALEY, MARY F
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:F
Last Name:HALEY
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 1:8601 E VIA DE LA ESCUELA
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3572
Mailing Address - Country:US
Mailing Address - Phone:480-951-5335
Mailing Address - Fax:
Practice Address - Street 1:8601 E VIA DE LA ESCUELA
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3572
Practice Address - Country:US
Practice Address - Phone:480-951-5335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-06
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider