Individual provider · Type 1 NPI

Haley Nicole Wanic, DNP, A-GNP

Nurse Practitioner · Fenton, MI

NPI number 1689306052 Active

Practice location

14165 N Fenton Rd Ste 201A
Fenton, MI 48430-1584

Fax (586) 279-4515

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704356520 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689306052

Haley Nicole Wanic, DNP, A-GNP's National Provider Identifier is 1689306052, issued on Jun 25, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fenton, MI. The record was last updated on Nov 10, 2022.