Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 176B00000X | Midwife | 0153 | AZ |
Y | 176B00000X | Midwife | MWR114 | CO |
NPI | 1063746394 |
---|---|
Provider Name | Nedra Hale |
First Address | Centennial, CO 80122 |
Second Address | Englewood, CO 80110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2009 |
Last Update Date | 06/11/2019 |