Provider Demographics
NPI:1649098518
Name:ESTES, HALEY ERIN
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:ERIN
Last Name:ESTES
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 1:315 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WALLED LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48390-2918
Mailing Address - Country:US
Mailing Address - Phone:248-535-2982
Mailing Address - Fax:
Practice Address - Street 1:315 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390-2918
Practice Address - Country:US
Practice Address - Phone:248-535-2982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant