Provider Demographics
NPI:1831524636
Name:IGERT, HALEIGH NICHOLE
Entity type:Individual
Prefix:
First Name:HALEIGH
Middle Name:NICHOLE
Last Name:IGERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1587 WILD WILLEY WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-9352
Mailing Address - Country:US
Mailing Address - Phone:702-503-0178
Mailing Address - Fax:
Practice Address - Street 1:1587 WILD WILLEY WAY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-9352
Practice Address - Country:US
Practice Address - Phone:702-503-0178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health