Provider Demographics
NPI:1144807488
Name:SZISZAK, HALEY ELISE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:HALEY
Middle Name:ELISE
Last Name:SZISZAK
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:MRS
Other - First Name:HALEY
Other - Middle Name:ELISE
Other - Last Name:HOOPER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, FNP-C
Mailing Address - Street 1:600 CLUB LN
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-3624
Mailing Address - Country:US
Mailing Address - Phone:501-327-0110
Mailing Address - Fax:
Practice Address - Street 1:600 CLUB LN
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-3624
Practice Address - Country:US
Practice Address - Phone:501-327-0110
Practice Address - Fax:501-327-0141
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR214751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR268013758Medicaid