Provider Demographics
NPI:1861476277
Name:HALE, MICHELLE MAREN (RN, MSN, CRNP)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:MAREN
Last Name:HALE
Suffix:
Gender:F
Credentials:RN, MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-249-1929
Mailing Address - Fax:717-249-9332
Practice Address - Street 1:220 WILSON ST STE 109
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3697
Practice Address - Country:US
Practice Address - Phone:717-249-1929
Practice Address - Fax:717-249-9332
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP 005355B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily