Provider Demographics
NPI:1467332817
Name:BERG, HALEY LAUREN (FNP-C)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:LAUREN
Last Name:BERG
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 ROSA RITA DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-7194
Mailing Address - Country:US
Mailing Address - Phone:409-256-1759
Mailing Address - Fax:
Practice Address - Street 1:1307 W LEAGUE CITY PKWY
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-6313
Practice Address - Country:US
Practice Address - Phone:281-332-2626
Practice Address - Fax:281-332-7272
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1212409363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily