Provider Demographics
NPI:1093911851
Name:HALE, BARBARA ANN (RN, IBCLC)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:HALE
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12080 CALLE DE MEDIO UNIT 144
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-4942
Mailing Address - Country:US
Mailing Address - Phone:619-672-7077
Mailing Address - Fax:
Practice Address - Street 1:12080 CALLE DE MEDIO UNIT 144
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92019-4942
Practice Address - Country:US
Practice Address - Phone:619-672-7077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306145163WL0100X, 163WX0002X
CA305145163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk