Provider Demographics
NPI:1336991603
Name:CONNER, HALEY AMANDA (DO)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:AMANDA
Last Name:CONNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 E MITCHELL HAMMOCK RD APT 3012
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-4768
Mailing Address - Country:US
Mailing Address - Phone:407-283-9083
Mailing Address - Fax:
Practice Address - Street 1:234 E MITCHELL HAMMOCK RD APT 3012
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-4768
Practice Address - Country:US
Practice Address - Phone:407-283-9083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program