Provider Demographics
NPI:1982216354
Name:SIMPSON, HALEY (CRNA)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:
Other - Last Name:PANKAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9745 COUNTY ROAD 423
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:MO
Mailing Address - Zip Code:64485-9526
Mailing Address - Country:US
Mailing Address - Phone:816-248-0337
Mailing Address - Fax:
Practice Address - Street 1:5325 FARAON ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3488
Practice Address - Country:US
Practice Address - Phone:816-271-6350
Practice Address - Fax:816-271-6753
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX962200163W00000X
MO2023019238367500000X
NE101760367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse