Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Haley Faye Wahl

Individual provider Nurse Practitioner · NPI 1669017265

Mrs. Haley Faye Wahl is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2019, 7 years ago. Practices with Innovis Health LLC, a 573-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
7
Licensed in
ND
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3000 32nd Ave S
Fargo, ND 58103-6132
Phone: (218) 786-8364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2400 32nd Ave S, Fargo, ND 58103-5800 — (701) 234-2000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R42177 (ND)
Nurse Practitioner Taxonomy 363L00000X · Licence R42177 (ND)

Record details

NPI number1669017265
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 7, 2019
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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