Halle Berry, APRN
Nurse Practitioner, Neonatal in Forney, TX. Individual provider (NPI-1).
NPI number1013797208
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1013797208
- Entity type
- Individual (NPI-1)
- Name
- Halle Berry
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2023
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LN0000X | Nurse Practitioner, Neonatal | 1141012 | TX | Yes |
| 163WN0002X | Registered Nurse, Neonatal Intensive Care | 1-159664 | AL |
Practice location
4176 Beamer DrForney, TX 75126-3020
Phone 334-450-9832
Mailing address
4176 Beamer DrForney, TX 75126-3020
Phone 334-450-9832
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