Provider Demographics
NPI:1689251761
Name:DAVIS, HALEY (APRN, MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:APRN, MSN, FNP-BC
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:PECH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP, MSN, FNP-BC
Mailing Address - Street 1:4055 FALLING LILLY CT
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6233
Mailing Address - Country:US
Mailing Address - Phone:803-528-0095
Mailing Address - Fax:
Practice Address - Street 1:601 E ROLLINS ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1248
Practice Address - Country:US
Practice Address - Phone:407-303-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11012188363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily