Provider Demographics
NPI:1639908205
Name:NEUBERT, HAYLEY MITCHELL (RN)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:MITCHELL
Last Name:NEUBERT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:REBECCA
Other - Last Name:NEUBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3930 SW IDA ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-2152
Mailing Address - Country:US
Mailing Address - Phone:828-337-0781
Mailing Address - Fax:
Practice Address - Street 1:2101 E YESLER WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5959
Practice Address - Country:US
Practice Address - Phone:206-299-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60278243163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse