Active NPIIndividual provider

Lois R Halleck, NURSE PRACTITIONER

Nurse Practitioner, Family in Blackwood, New Jersey

NPI Number1538262704
Practice location
141 S Black Horse Pike, Suite 104, Blackwood, NJ 08012-2975
Fax
856-848-3011
Last updated
November 18, 2011

Lois R Halleck is a Nurse Practitioner, Family based in Blackwood, NJ. Lois R Halleck practices in Blackwood, NJ and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Lois R Halleck is 1538262704 and holds a License No. 26NR05584600 (NJ). The current practice location address for Lois R Halleck is 141 S Black Horse Pike, Suite 104, Blackwood, NJ 08012-2975 and can be reached out via phone at 856-292-8216 and via fax at 856-848-3011.

Provider Profile Details

NPI Number
1538262704
Provider Name
Lois R Halleck
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
141 S Black Horse Pike, Suite 104, Blackwood, NJ 08012-2975
Phone Number
856-292-8216
Fax Number
856-848-3011
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
September 6, 2006
Last Update Date
November 18, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 S Black Horse Pike
Suite 104
Blackwood, NJ 08012-2975
Zip
08012-2975
Phone Number
856-292-8216
Fax Number
856-848-3011
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
141 S Black Horse Pike
Suite 104
Blackwood, NJ 08012-2975
City
Blackwood
State
NJ
Zip
08012-2975
Phone Number
856-292-8216
Fax Number
856-848-3011

License Information

License Number (1)
26NR05584600
License State (1)
NJ
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
26NJ00003800
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Family providers near Blackwood, NJ

View all Nurse Practitioner, Family providers in Blackwood →

Frequently Asked Questions

What is the NPI number of Lois R Halleck, NURSE PRACTITIONER?

The NPI number of Lois R Halleck, NURSE PRACTITIONER is 1538262704. It was assigned on September 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Lois R Halleck, NURSE PRACTITIONER?

Lois R Halleck, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NR05584600.

Where does Lois R Halleck, NURSE PRACTITIONER practice?

The practice location is 141 S Black Horse Pike, Suite 104, Blackwood, NJ 08012-2975. The office can be reached at 856-292-8216 (phone) or 856-848-3011 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538262704 directly on the NPPES registry website.

Browse related providers