Individual
MR. MATTHEW REID HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-129595
AL
363LG0600X
Gerontology Nurse Practitioner
1-129595
AL
Other
Enumeration date
11/16/2018
Last updated
06/29/2023
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