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NPI Code Detail

MEDICARE: MS. PATRICIA ANN HALON NP

MEDICARE: MS. PATRICIA ANN HALON 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
1363LF0000XFamily Nurse Practitioner141885MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NP1694OTHERMABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1548242746
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA ANN HALON NP
Provider Business Mailing Address
First Line : 2 ARROWHEAD LN
Second Line :
City : RAYNHAM
State : MA
Zip : 02767-5247
Country : US
Telephone Number : 508-823-9298
Fax Number :
Provider Business Practice Location Address
First Line : 100 MORRISSEY BLVD
Second Line : UNIVERSITY HEALTH SERVICES, QUINN ADM BUILDING
City : DORCHESTER
State : MA
Zip : 02125-3300
Country : US
Telephone Number : 617-287-5679
Fax Number : 617-287-3977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 07/08/2007

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