Provider Demographics
NPI:1629887344
Name:ESCHE, HALEY NOELLE (PA-C)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:NOELLE
Last Name:ESCHE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 24TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6738
Mailing Address - Country:US
Mailing Address - Phone:405-865-4040
Mailing Address - Fax:405-865-4041
Practice Address - Street 1:3209 24TH AVE NW
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6738
Practice Address - Country:US
Practice Address - Phone:405-865-4040
Practice Address - Fax:405-865-4041
Is Sole Proprietor?:No
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5358363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant