Provider Demographics
NPI:1881041200
Name:YOUNIS, HAYLEE (FNP-C)
Entity type:Individual
Prefix:
First Name:HAYLEE
Middle Name:
Last Name:YOUNIS
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 1:1923 MCCULLOCH BLVD N STE 101
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-6120
Mailing Address - Country:US
Mailing Address - Phone:928-208-4611
Mailing Address - Fax:928-453-4645
Practice Address - Street 1:1851 MESQUITE AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-5677
Practice Address - Country:US
Practice Address - Phone:928-208-4611
Practice Address - Fax:928-453-4645
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-16
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTAP8658363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily