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Individual

DR. ANTHONY L HALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, PMHNP-BC,FNP-BC

Contact information

Practice address
8532 W CAPITOL DR STE 201, MILWAUKEE, WI 53222-1850
(414) 446-1040
(414) 435-9638
Mailing address
2113 TALLGRASS CIR, WAUKESHA, WI 53188-2606
(262) 527-9798

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4697
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4697
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780951996
WI
05
1932503240
WI
Enumeration date
11/17/2011
Last updated
04/20/2021
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