Provider Demographics
NPI:1497541395
Name:HALE, SIKU JAININ (LPN)
Entity type:Individual
Prefix:
First Name:SIKU
Middle Name:JAININ
Last Name:HALE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 GRAND ST APT 328
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01610-1670
Mailing Address - Country:US
Mailing Address - Phone:508-723-0239
Mailing Address - Fax:
Practice Address - Street 1:45 GRAND ST APT 328
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01610-1670
Practice Address - Country:US
Practice Address - Phone:508-723-0239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN100131164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse