Individual
RAMONA KAY HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4025 HEALTH PARK LN, SAINT JOSEPH, MI 49085-3421
(269) 429-7100
(269) 429-1959
Mailing address
4025 HEALTH PARK LN, SAINT JOSEPH, MI 49085-3421
(269) 429-7100
(269) 429-1959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704125621
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316009665
—
MI
01
—
4704125621
STATE LICENSE
MI
Enumeration date
12/14/2006
Last updated
03/21/2016
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