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NPI Code Detail

MEDICARE: HALO HEALTH LLC

MEDICARE: HALO HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner
2261Q00000XClinic/Center

General Provider Information

NPI Number : 1104620525
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALO HEALTH LLC
Provider Business Mailing Address
First Line : 930 S 4TH ST STE 209-5336
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 930 S 4TH ST STE 209-5336
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6845
Country : US
Telephone Number : 507-571-9696
Fax Number :
Authorized Official
Title or Position : OWNER/MEMBER
Name : ELIZABETH BROWN
Credential : APRN
Telephone Number : 507-571-9696
Provider Enumeration Date : 04/03/2025
Last Update Date : 04/03/2025

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Directions to “HALO HEALTH LLC ” Practice Location

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