Individual
RITA ANNE HALAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1225 E COOLSPRING AVE # 2C, MICHIGAN CITY, IN 46360-6312
(219) 877-1298
(219) 877-1016
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209014412
IL
363LF0000X
Family Nurse Practitioner
Primary
71007626A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71007626A
MEDICAL LICENSE
IN
Enumeration date
09/19/2016
Last updated
04/24/2023
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