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NPI Code Detail

MEDICARE: TIANI HALE NP

MEDICARE: TIANI HALE NP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner4704369696MI

General Provider Information

NPI Number : 1992550537
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIANI HALE NP
Provider Business Mailing Address
First Line : 525 OKEMOS ST
Second Line :
City : MASON
State : MI
Zip : 48854-1224
Country : US
Telephone Number : 517-833-8100
Fax Number : 517-676-5460
Provider Business Practice Location Address
First Line : 6211 TAYLOR DR
Second Line :
City : FLINT
State : MI
Zip : 48507-4665
Country : US
Telephone Number : 810-237-0799
Fax Number : 517-676-5460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2024
Last Update Date : 04/07/2026

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