Individual
MS. ANITA SUE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
296 AGVIK STREET, BARROW, AL 99723-0029
(907) 852-4611
Mailing address
204 RUSSELL ST, SHELBYVILLE, TN 37160-4815
(931) 684-1526
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47290
TN
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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