Provider Demographics
NPI:1053068858
Name:NUNLEY, HAYLEY ANN (APRN)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:ANN
Last Name:NUNLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:ANN
Other - Last Name:BIVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1106 DRUID RD S STE 201
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3807
Mailing Address - Country:US
Mailing Address - Phone:727-584-6266
Mailing Address - Fax:
Practice Address - Street 1:1106 DRUID RD S STE 201
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3807
Practice Address - Country:US
Practice Address - Phone:727-584-6266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-02
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9363963163W00000X
FLAPRN11021415363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse