Provider Demographics
NPI:1902557994
Name:HOLDEN, HALEY ANNE (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:ANNE
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MISS
Other - First Name:HALEY
Other - Middle Name:ANNE
Other - Last Name:PICKENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3500 CLOVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-1302
Mailing Address - Country:US
Mailing Address - Phone:256-284-7706
Mailing Address - Fax:
Practice Address - Street 1:3500 CLOVERDALE RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35633-1302
Practice Address - Country:US
Practice Address - Phone:256-284-7706
Practice Address - Fax:256-284-7711
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-159784363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily