Flanders, Haley Renee

Flanders, Haley Renee is an individual health care provider with primary practice located at 630 S Fleishel Ave , Tyler TX 75701-2041. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Flanders, Haley Renee can be contacted via phone (903) 606-5560.

Contact Information

Primary practice address
630 S Fleishel Ave Tyler TX 75701-2041
Phone: (903) 606-5560
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP142623 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP142623 Texas

Profile Details

NPI number 1578105771
LBN Legal business name Flanders, Haley Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2019
Last updated Oct 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578105771 NPPES
Texas Other AP142623 TEXAS BON
Texas MEDICAID 407292802 TEXAS BON

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