Provider Demographics
NPI:1659173383
Name:MORKEBERG, HAYLEY
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:
Last Name:MORKEBERG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:
Other - Last Name:MANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1046 27TH AVE SE APT F
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-2725
Mailing Address - Country:US
Mailing Address - Phone:952-446-6008
Mailing Address - Fax:
Practice Address - Street 1:1046 27TH AVE SE APT F
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-2725
Practice Address - Country:US
Practice Address - Phone:952-446-6008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2482802163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse