Individual
HALSEY JEAN JULIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-4823
(781) 744-8132
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
147503
MO
367500000X
Certified Registered Nurse Anesthetist
663580
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2343750
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919025007
—
MO
Enumeration date
01/16/2006
Last updated
08/06/2020
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