Provider Demographics
NPI:1073496535
Name:LIND, HAELI M
Entity type:Individual
Prefix:
First Name:HAELI
Middle Name:M
Last Name:LIND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-2959
Mailing Address - Country:US
Mailing Address - Phone:775-528-6742
Mailing Address - Fax:
Practice Address - Street 1:1135 TERMINAL WAY STE 208
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2168
Practice Address - Country:US
Practice Address - Phone:775-528-6742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health