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NPI Code Detail

MEDICARE: MS. SARAH ANNE HALTER CNM, FNP

MEDICARE: MS. SARAH ANNE HALTER CNM, FNP
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
1363LF0000XFamily Nurse Practitioner4704162932MI
2367A00000XAdvanced Practice Midwife4704162932MI

Other Identifiers

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

General Provider Information

NPI Number : 1316948615
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH ANNE HALTER CNM, FNP
Provider Business Mailing Address
First Line : 3348 COLUMBIA WOODS DR APT D
Second Line :
City : NORTON
State : OH
Zip : 44203-5753
Country : US
Telephone Number : 337-396-2809
Fax Number :
Provider Business Practice Location Address
First Line : 77 EAST MIDLOTHIAN BLVD
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44507-2021
Country : US
Telephone Number : 330-788-2487
Fax Number : 330-788-8620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 03/02/2012

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