Individual
MARIA RENEE HALLFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
880 MADISON AVE, MEMPHIS, TN 38103-3409
(901) 515-3500
(901) 515-3509
Mailing address
877 JEFFERSON AVENUE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
145449
TN
367A00000X
Advanced Practice Midwife
Primary
25862
TN
Other
Enumeration date
01/24/2019
Last updated
06/06/2019
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