Provider Demographics
NPI:1861364325
Name:KILLIAN, HALEY (APRN-CNP)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:KILLIAN
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 NORTH LOOP
Mailing Address - Street 2:
Mailing Address - City:HORNBECK
Mailing Address - State:LA
Mailing Address - Zip Code:71439-1510
Mailing Address - Country:US
Mailing Address - Phone:318-431-5100
Mailing Address - Fax:318-808-7007
Practice Address - Street 1:1255 SAN ANTONIO AVE
Practice Address - Street 2:
Practice Address - City:MANY
Practice Address - State:LA
Practice Address - Zip Code:71449-3227
Practice Address - Country:US
Practice Address - Phone:318-431-5100
Practice Address - Fax:318-808-7007
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203784767208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty