Provider Demographics
NPI:1881036945
Name:HALEY, TIFFIANY
Entity Type:Individual
Prefix:MRS
First Name:TIFFIANY
Middle Name:
Last Name:HALEY
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:PO BOX 259
Mailing Address - Street 2:
Mailing Address - City:WHITE SULPHUR SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12787-0259
Mailing Address - Country:US
Mailing Address - Phone:845-428-1980
Mailing Address - Fax:
Practice Address - Street 1:52 BOYD RD
Practice Address - Street 2:
Practice Address - City:WHITE SULPHUR SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12787
Practice Address - Country:US
Practice Address - Phone:845-428-1980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula