Individual
TIANI HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6211 TAYLOR DR, FLINT, MI 48507-4665
(810) 237-0799
(517) 676-5460
Mailing address
525 OKEMOS ST, MASON, MI 48854-1224
(517) 833-8100
(517) 676-5460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704369696
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704369696
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3434247
—
MI
Enumeration date
04/18/2024
Last updated
04/07/2026
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