Healthcare Provider Details

I. General information

NPI: 1396289617
Provider Name (Legal Business Name): KRISTEN NOELLE LIND CNM, LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTEN NOELLE HALL CNM

II. Dates (important events)

Enumeration Date: 12/05/2016
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

162 BLUFFTON RD STE 101
BLUFFTON SC
29910-6340
US

IV. Provider business mailing address

226 HULSTON LANDING RD
BLUFFTON SC
29909-7858
US

V. Phone/Fax

Practice location:
  • Phone: 843-321-8016
  • Fax:
Mailing address:
  • Phone: 843-321-8016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN-CNM263487
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLMW-0134
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: