Provider Demographics
NPI:1629671367
Name:EARLY, HALEY N
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:N
Last Name:EARLY
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 1:80 TOWNSHIP ROAD 1118 APT 19
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-7125
Mailing Address - Country:US
Mailing Address - Phone:304-654-4553
Mailing Address - Fax:
Practice Address - Street 1:80 TOWNSHIP ROAD 1118 APT 19
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619-7125
Practice Address - Country:US
Practice Address - Phone:304-654-4553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant