Individual
CLARA ROSE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21249
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102022000
—
WV
Enumeration date
06/14/2006
Last updated
11/07/2007
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