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NPI Code Detail

MEDICARE: HA LE

MEDICARE: HA LE
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
1363LP2300XPrimary Care Nurse PractitionerARNP9337472FL

General Provider Information

NPI Number : 1164841227
Entity Type Code : Individual
Provider Name (Legal Business Name) : HA LE
Provider Business Mailing Address
First Line : 14730 COBRA WAY
Second Line :
City : HUDSON
State : FL
Zip : 34669-1083
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14730 COBRA WAY
Second Line :
City : HUDSON
State : FL
Zip : 34669-1083
Country : US
Telephone Number : 615-221-5901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2014
Last Update Date : 04/15/2014

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Directions to “ HA LE ” Practice Location

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