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General NPI Number Information
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NPI Number | 1093703449
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Entity Type | Individual
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Provider Name | CONNIE MICHELLE HALE CNM, MSN, LNC
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Gender | Female
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 11097 HEARTH RD
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City | SPRING HILL
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State | FL
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Zip | 34608-3704
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Country | US
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Telephone | 352-263-2600
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Fax | 352-684-2218
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Provider Business Mailing Address
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Address Line | 11097 HEARTH RD
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City | SPRING HILL
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State | FL
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Zip | 34608-3704
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Country | US
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Telephone | 352-263-2600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | ARNP 2053942
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License Number State | FL
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