Provider Demographics
NPI:1801316245
Name:HALES, AMY (NP-C)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:HALES
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 CHOCTAW ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4513
Mailing Address - Country:US
Mailing Address - Phone:828-255-7733
Mailing Address - Fax:
Practice Address - Street 1:705 6TH AVE W STE A
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4161
Practice Address - Country:US
Practice Address - Phone:828-696-2570
Practice Address - Fax:828-693-0608
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009627363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily