Nurse Practitioner, Family
HALEY ELLIS CNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1306485172 · enumerated 2019-12-27 · record updated 2020-03-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 401 9TH AVE NW, WATERTOWN, SD, 57201-1548 (605) 882-7000 Fax (605) 882-7819 Google Maps Apple Maps OpenStreetMap
- Mailing address 401 9TH AVE NW, WATERTOWN, SD, 57201-1548 (605) 882-7000 Fax (605) 882-7819 Google Maps Apple Maps OpenStreetMap
Specialties
- Registered Nurse 163W00000X · License R036298 SD
- Nurse Practitioner, Family 363LF0000X · Primary · License CP001704 SD
In this directory
Locations and evidence
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Practice location
WATERTOWN, SD, 572011548
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.