Individual
MS. HALLIE ELIZABETH MATHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, WHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
135647
CT
367A00000X
Advanced Practice Midwife
Primary
441
CT
Other
Enumeration date
11/16/2017
Last updated
11/16/2022
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