Provider Demographics
NPI:1053185264
Name:WILLIAMS, HALEY MARGARET
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:MARGARET
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:HALEY
Other - Middle Name:MARGARET
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:14813 QUEENS DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-1412
Mailing Address - Country:US
Mailing Address - Phone:402-319-7806
Mailing Address - Fax:
Practice Address - Street 1:4864 S 96TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-2048
Practice Address - Country:US
Practice Address - Phone:402-957-6363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE115063363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health