NPI 1013364199

Haley Carlock, DNPPMHNPBC

Practitioner Psychiatric/Mental Health Nurse Practitioner St Louis Park, MN

Practice location

Address: 1155 Ford Rd Suite B, St Louis Park, MN 55426-1099
Phone: (952) 378-1800
Fax: (952) 378-1714
Mailing address: 3100 W Lake St Suite 210, Minneapolis, MN 55416-4527

Registered specialties (2)

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence CNP 4630 (MN)

Other Nurse Practitioner providers in Minnesota →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence R 197063-4 (MN)

Registry record

NPI: 1013364199
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2016
Record last updated: 26 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.