Provider Demographics
NPI:1134933617
Name:NAFTEL, HAILEY RENEE
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:RENEE
Last Name:NAFTEL
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 1:924 T B HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-0449
Mailing Address - Country:US
Mailing Address - Phone:270-790-1787
Mailing Address - Fax:
Practice Address - Street 1:924 T B HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-0449
Practice Address - Country:US
Practice Address - Phone:270-790-1787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency