Individual
R. RENEE HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM NP RN
Contact information
Practice address
722 MEDICAL CENTER DR E #101, CLOVIS, CA 93611
(559) 297-9500
(559) 297-9572
Mailing address
722 MEDICAL CENTER DR E #101, CLOVIS, CA 93611
(559) 297-9500
(559) 297-9572
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
NMW147
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NMW001470
—
CA
Enumeration date
12/22/2006
Last updated
05/19/2015
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