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Individual

TASHA BRUA HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, APRN

Contact information

Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426
(952) 993-3282
Mailing address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-3282

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM 0275
MN

Other

Enumeration date
08/21/2015
Last updated
10/31/2019
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