Provider Demographics
NPI:1134844350
Name:WOLDSETH, HAYLEY JOY (MS, CNS)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:JOY
Last Name:WOLDSETH
Suffix:
Gender:F
Credentials:MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 VIA APRILIA APT 4
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3749
Mailing Address - Country:US
Mailing Address - Phone:253-306-9305
Mailing Address - Fax:
Practice Address - Street 1:2260 VIA APRILIA APT 4
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3749
Practice Address - Country:US
Practice Address - Phone:253-306-9305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-10
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
18494133NN1002X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education