Provider Demographics
NPI:1952850406
Name:GASSEL, HAYLEY ANN (CNP)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:ANN
Last Name:GASSEL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19428 GILL RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1117
Mailing Address - Country:US
Mailing Address - Phone:734-787-9899
Mailing Address - Fax:
Practice Address - Street 1:19428 GILL RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1117
Practice Address - Country:US
Practice Address - Phone:734-787-9899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-26
Last Update Date:2024-02-20
Deactivation Date:2024-02-10
Deactivation Code:
Reactivation Date:2024-02-20
Provider Licenses
StateLicense IDTaxonomies
MI4704311930363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health