Provider Demographics
NPI:1790112332
Name:BORROR, HALEY CHANEL (BS)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:CHANEL
Last Name:BORROR
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:4100 SE ADAMS RD STE E108
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-8409
Mailing Address - Country:US
Mailing Address - Phone:918-333-3828
Mailing Address - Fax:
Practice Address - Street 1:4100 SE ADAMS RD STE E108
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-8409
Practice Address - Country:US
Practice Address - Phone:918-333-3828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator