Provider Demographics
NPI:1801466909
Name:SOWDER, HALEY (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:
Last Name:SOWDER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10610 N PENNSYLVANIA ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46280
Mailing Address - Country:US
Mailing Address - Phone:765-918-3303
Mailing Address - Fax:
Practice Address - Street 1:10610 N PENNSYLVANIA ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46280
Practice Address - Country:US
Practice Address - Phone:317-575-6565
Practice Address - Fax:855-277-4349
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71011249A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily