Provider Demographics
NPI:1689433484
Name:CUTLER, HALEY BROOKE (CRNA)
Entity Type:Individual
Prefix:MS
First Name:HALEY
Middle Name:BROOKE
Last Name:CUTLER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8262 N BOYD RD
Mailing Address - Street 2:
Mailing Address - City:PINETOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27865-9484
Mailing Address - Country:US
Mailing Address - Phone:252-508-3288
Mailing Address - Fax:
Practice Address - Street 1:8262 N BOYD RD
Practice Address - Street 2:
Practice Address - City:PINETOWN
Practice Address - State:NC
Practice Address - Zip Code:27865-9484
Practice Address - Country:US
Practice Address - Phone:252-508-3288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC295267163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse