Provider Demographics
NPI:1982152898
Name:GLEASON, HALEY ANN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:ANN
Last Name:GLEASON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:ANN
Other - Last Name:WEBSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:514 CLEVELAND ST
Mailing Address - Street 2:MEDICAL PAVILION
Mailing Address - City:GREAT BEND
Mailing Address - State:KS
Mailing Address - Zip Code:67530-3562
Mailing Address - Country:US
Mailing Address - Phone:620-792-2151
Mailing Address - Fax:620-860-0305
Practice Address - Street 1:514 CLEVELAND ST
Practice Address - Street 2:MEDICAL PAVILION
Practice Address - City:GREAT BEND
Practice Address - State:KS
Practice Address - Zip Code:67530-3562
Practice Address - Country:US
Practice Address - Phone:620-792-2151
Practice Address - Fax:620-860-0305
Is Sole Proprietor?:No
Enumeration Date:2016-09-20
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77372363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner