Individual provider · Type 1 NPI

Haley Soderbloom, PA-C

Physician Assistant · Winston Salem, NC

NPI number 1760396451 Active

Practice location

Medical Center Blvd, Dept Of Otolaryngology Head & Neck Surgery
Winston Salem, NC 27157-1034

Call (336) 716-4161 Map

Fax (336) 716-3857

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X0010-17144 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760396451

Haley Soderbloom, PA-C's National Provider Identifier is 1760396451, issued on Sep 30, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 30, 2026.