Most Relevant Information
Provider Data
| NPI Number: | 1003401399 |
| Provider Name: | HALEY ANN KNUTSON NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95016604 |
Most Important Dates
| Enumeration Date: | 03/08/2021 |
| Last Updated: | 03/08/2021 |
Provider Practice Location
1 VEROLI CT
NEWPORT COAST
CA
926571509
Practice Location Phone/Fax
| Phone: | 9512181624 |
| Fax: |
Provider Mailing Location
1 VEROLI CT
NEWPORT COAST
CA
926571509
Provider Mailing Phone/Fax
| Phone: | 9512181624 |
| Fax: |