Individual
LISA MICHELE HALPERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1260 SILAS DEANE HWY, HARTFORD HOSPITAL NEUROLOGY DEPT, WETHERSFIELD, CT 06109
(860) 696-2820
Mailing address
1260 SILAS DEANE HWY, HARTFORD HOSPITAL NEUROLOGY DEPT, WETHERSFIELD, CT 06109-4362
(860) 696-2820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
003385
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
003385
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004033858
—
CT
01
—
500001785
MEDICARE
CT
01
—
D400085831
MEDICARE
CT
01
—
D400085832
MEDICARE
CT
Enumeration date
03/20/2006
Last updated
04/11/2019
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