Provider Demographics
NPI:1639782139
Name:REICHER, HALEY (RN)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:REICHER
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 1:180 WATERVIEW DR APT 619
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-9064
Mailing Address - Country:US
Mailing Address - Phone:865-455-1578
Mailing Address - Fax:
Practice Address - Street 1:180 WATERVIEW DR APT 619
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-9064
Practice Address - Country:US
Practice Address - Phone:865-455-1578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN234980163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse