| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HALEY LYNN KLOBERDANZ | 1104553304 | 2023-08-08 |
Haley Lynn Kloberdanz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104553304. Registration indicates Haley Lynn Kloberdanz is a provider of access to mental health/behavioral health providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Haley Lynn Kloberdanz ARNP, PMHNP-BC |
| Practice Office Address | 5408 NW 88TH ST STE 140 JOHNSTON, IA US |
| Practice Office Telephone | 5153687504 |
| Practice Office Fax | 5153553491 |
| Mailing Address | 5408 NW 88TH ST STE 140 JOHNSTON, IA 501312953 US |
| Business Telephone | 5153687504 |
| Business Fax | 5153553491 |
| Code | Practice | License No State |
|---|---|---|
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | G175218
IA |