Provider Demographics
NPI:1053897678
Name:OLDAKER, HAYLEE ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:HAYLEE
Middle Name:ELIZABETH
Last Name:OLDAKER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5877 WERLEYS CORNER RD
Mailing Address - Street 2:
Mailing Address - City:NEW TRIPOLI
Mailing Address - State:PA
Mailing Address - Zip Code:18066-2101
Mailing Address - Country:US
Mailing Address - Phone:610-704-3703
Mailing Address - Fax:
Practice Address - Street 1:549 FAIR ST
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-1419
Practice Address - Country:US
Practice Address - Phone:570-387-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-17
Last Update Date:2019-05-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant