Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HALEY RANAE GOULSON, PA-C
ActiveMRS. HALEY RANAE GOULSON, PA-C is a Physician Assistant healthcare provider located in DEKALB, Illinois. NPI 1417283938 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DEKALB, IL
Registration Details
- NPI Number
- 1417283938
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2009 (16.841623059219 yrs)
- Last Updated
- Mar 12, 2024
- License
-
085.003590 (IL)
Practice Information
- Address
-
10 HEALTH SERVICES DRDEKALB, IL, 601159600Browse IL providers · Browse ZIP 60115
- Phone
- 8157565255
- Fax
- 8157569944
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DEKALB, IL
| Name | Credential | NPI |
|---|---|---|
| DEREK J MARATEA | PA-C | 1699919118 |
| MAKENZIE DISERIO | — | 1679146302 |
| SADIE DONAGHY | PA-C | 1861140279 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.