Individual
SUSAN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN AHN, HWNC
Contact information
Practice address
2505 E 3300 S STE 302, MILLCREEK, UT 84109-2737
(385) 333-6000
Mailing address
2505 E 3300 S STE 302, MILLCREEK, UT 84109-2737
(385) 333-6000
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
277700-3102
UT
171400000X
Health & Wellness Coach
Primary
277700-3102
UT
2083P0901X
Public Health & General Preventive Medicine Physician
277700-3102
UT
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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