Haley Lynn Puffenbarger, PMHNP-BC
Individual provider Active NPI Registered Nurse · Maple Park, IL
NPI 1861319600 · NPPES record last updated Jul 2, 2026
Key facts
- NPI
- 1861319600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041.522210 (IL)
- Practice address
- 17901 Owens Rd
Maple Park, IL 60151-5225 - Phone
- (708) 548-4912
- NPI assigned
- Jul 2, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.522210 | IL | Yes |
Addresses
Primary practice location
17901 Owens Rd
Maple Park, IL 60151-5225
Mailing address
17901 Owens Rd
Maple Park, IL 60151-5225
Phone (708) 548-4912
Other providers in Maple Park, IL
- KG Speech LLC
- Maple Park and Countryside Fire
- Natural Balance Training, Inc.
- Andrew Ryan Phillips
- PKK Enterprises, Inc
- Terri Lynn Robinson
- Mia Rusev
- Caitlin Kennedy Smith
- TLC Speech Services PC
- Allen Weimer
All providers in Maple Park, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.