Provider Demographics
NPI:1063669802
Name:HALBERT, LEE-ANN (RN, MSN, WHCNP)
Entity Type:Individual
Prefix:MS
First Name:LEE-ANN
Middle Name:
Last Name:HALBERT
Suffix:
Gender:F
Credentials:RN, MSN, WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 E PARTRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-4407
Mailing Address - Country:US
Mailing Address - Phone:856-751-8954
Mailing Address - Fax:
Practice Address - Street 1:127 E PARTRIDGE LN
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-4407
Practice Address - Country:US
Practice Address - Phone:856-751-8954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009409363LW0102X
NJ26NJ00130800363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health