Individual provider · Type 1 NPI

Haley Carlock, DNP, PMHNP-BC

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

NPI number 1013364199 Active

Practice location

1155 Ford Rd, Suite B
St. Louis Park, MN 55426-1099

Fax (952) 378-1714

Mailing address

3100 W Lake St, Suite 210
Minneapolis, MN 55416-4527

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XCNP 4630 (MN)
Nurse Practitioner 363L00000XR 197063-4 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1013364199

Haley Carlock, DNP, PMHNP-BC's National Provider Identifier is 1013364199, issued on May 19, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Louis Park, MN. The record was last updated on Apr 26, 2017.