Individual
LISA PUTNAM HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., P.N.P.
Contact information
Practice address
747 52ND STREET, HEMATOLOGY-ONCOLOGY DEPARTMENT, CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND, OAKLAND, CA 94609
(510) 428-3885
(510) 597-7199
Mailing address
747 52ND STREET, HEMATOLOGY-ONCOLOGY DEPARTMENT, CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND, OAKLAND, CA 94609
(510) 428-3885
(510) 597-7199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
732596
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
21022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20113310
NATIONAL PNP CERTIFICATION PEDIATRIC NURSING CERT BOARD
—
Enumeration date
11/28/2011
Last updated
10/17/2013
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