Individual
ANNA L HALBERSTADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4111 FRANKLIN ST, MICHIGAN CITY, IN 46360-7803
(219) 873-2919
(219) 873-2909
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008280A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018816
—
IN
Enumeration date
07/31/2018
Last updated
06/25/2024
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