Individual
IRENE E HALDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 454-4170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
514109
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
514109
CA
Other
Enumeration date
01/27/2023
Last updated
01/30/2023
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