Individual
SUZANNE L HALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
5605 W EUGIE AVE STE 11, GLENDALE, AZ 85304-1272
(480) 756-6000
(866) 636-8770
Mailing address
5605 W EUGIE AVE STE 111, GLENDALE, AZ 85304-1273
(480) 756-0000
(480) 546-4136
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
10780
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776685
—
AZ
Enumeration date
05/18/2006
Last updated
04/02/2021
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