Provider Demographics
NPI:1790565893
Name:HALO NURSES & ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:HALO NURSES & ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SERVICES DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEMEKA
Authorized Official - Middle Name:VINES
Authorized Official - Last Name:PARAMORE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:252-314-9714
Mailing Address - Street 1:1821 MIDGETTE LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6672
Mailing Address - Country:US
Mailing Address - Phone:252-314-9714
Mailing Address - Fax:
Practice Address - Street 1:323 CLIFTON ST STE 19
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5053
Practice Address - Country:US
Practice Address - Phone:877-553-5274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service