Provider Demographics
NPI:1831072560
Name:CHIRHART, HAILEY ROSE (FNP-C)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:ROSE
Last Name:CHIRHART
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:HAILEY
Other - Middle Name:ROSE
Other - Last Name:WALDHART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:207 LONE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:WI
Mailing Address - Zip Code:54437-8383
Mailing Address - Country:US
Mailing Address - Phone:715-382-3637
Mailing Address - Fax:
Practice Address - Street 1:500 WIND RIDGE DR
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4173
Practice Address - Country:US
Practice Address - Phone:715-847-2611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17188-33363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner