Individual
MICHELLE DIANNE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2840 N DYSART RD, GOODYEAR, AZ 85395-2338
(623) 536-5309
Mailing address
2840 N DYSART RD, GOODYEAR, AZ 85395-2338
(623) 536-5309
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
261863
AZ
Other
Enumeration date
04/28/2015
Last updated
08/09/2021
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