Kris Douglas Halliwell, APRN
Nurse Practitioner, Acute Care in Lebanon, NH. Individual provider (NPI-1).
NPI number1164034088
StatusActive
Last updated in NPPESAug 24, 2020
Details
- NPI
- 1164034088
- Entity type
- Individual (NPI-1)
- Name
- Kris Douglas Halliwell
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2020
- Certification date
- Aug 24, 2020
- Last updated
- Aug 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 060865-23 | NH | Yes |
Practice location
1 Medical Center DrLebanon, NH 03756-0001
Phone 603-650-5104
Mailing address
1 Medical Center DrLebanon, NH 03756-1000
Phone 603-650-5104
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