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NPI Code Detail

MEDICARE: RAMONA KAY HALE NURSE PRACTITIONER

MEDICARE: RAMONA KAY HALE NURSE PRACTITIONER
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
1363L00000XNurse Practitioner4704125621MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24704125621OTHERMISTATE LICENSE

General Provider Information

NPI Number : 1316009665
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMONA KAY HALE NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 4025 HEALTH PARK LN
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-3421
Country : US
Telephone Number : 269-429-7100
Fax Number : 269-429-1959
Provider Business Practice Location Address
First Line : 4025 HEALTH PARK LN
Second Line :
City : SAINT JOSEPH
State : MI
Zip : 49085-3421
Country : US
Telephone Number : 269-429-7100
Fax Number : 269-429-1959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 03/21/2016

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