Individual
DR. KHRISTAN HEAGLE HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP
Contact information
Practice address
20 LOCUST LN, BRONXVILLE, NY 10708-4933
(917) 612-3781
Mailing address
20 LOCUST LN, BRONXVILLE, NY 10708-4933
(917) 612-3781
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383126
NY
Other
Enumeration date
09/01/2020
Last updated
02/18/2021
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