HALEY CHRISTINE BLACKWILL

ORANGE, CA
NPI1811446214
Former NameHALEY CHRISTINE KULCZYCKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95004960)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95004960)
Enumeration Date2016-09-26
Last Update Date2024-01-24
Business Address
HALEY CHRISTINE BLACKWILL AGACNP
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-880-7812
Mailing Address
HALEY CHRISTINE BLACKWILL AGACNP
200 S MANCHESTER AVE STE 300
ORANGE, CA 92868-3219
Phone number: 714-456-2986