Individual
SANDRA ADELE HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 S RAILROAD ST, PHILIPPI, WV 26416-1150
(304) 624-6554
(304) 624-5223
Mailing address
105 S RAILROAD ST, PHILIPPI, WV 26416-1150
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
29254
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161408000
—
WV
Enumeration date
03/26/2008
Last updated
03/26/2008
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