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NPI Code Detail

MEDICARE: DANIEL HALTER

MEDICARE: DANIEL HALTER
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP5329AZ

General Provider Information

NPI Number : 1962828681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL HALTER
Provider Business Mailing Address
First Line : 3415 E ARABIAN DR
Second Line :
City : GILBERT
State : AZ
Zip : 85296-0645
Country : US
Telephone Number : 480-861-3787
Fax Number :
Provider Business Practice Location Address
First Line : 1840 N 95TH AVE STE 160
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-4313
Country : US
Telephone Number : 623-234-9811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2014
Last Update Date : 08/10/2022

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Directions to “ DANIEL HALTER ” Practice Location

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