MEDICARE: MRS. LINDA S 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
1	363LF0000X	Family Nurse Practitioner	201456	NC

General Provider Information

NPI Number	:	1528099116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA S HALE NP

Provider Business Mailing Address
First Line	:	101 MAIN ST
Second Line	:
City	:	BUNN
State	:	NC
Zip	:	27508-9700
Country	:	US
Telephone Number	:	919-496-6511
Fax Number	:	919-496-2889

Provider Business Practice Location Address
First Line	:	101 MAIN ST
Second Line	:
City	:	BUNN
State	:	NC
Zip	:	27508-9700
Country	:	US
Telephone Number	:	919-496-6511
Fax Number	:	919-496-2889

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	01/24/2008

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