Doctor Name: | MS. SANFORA L HALE |
NPI Number: | 1093803579 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 2568352 |
Business Practice Address: | 10000 Bay Pines Blvd 116-a Bay Pines, FL - 33744 |
Business Phone Number: | 7273986661 |
Business Fax Number: | 7273989567 |
Mailing Address: | 13836 Oak Forest Blvd S, SEMINOLE |
State: | FL |
Postal Code: | 337763421 |
Phone Number: | 7273923398 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 2568352 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |