Individual provider · Type 1 NPI

Haley Icen, DO

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1083415970 Active

Practice location

2724 N Tenaya Way
Las Vegas, NV 89128-0424

Call (702) 992-6888 Map

Fax (702) 992-6880

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083415970

Haley Icen, DO's National Provider Identifier is 1083415970, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 22, 2025.