Provider Demographics
NPI:1306544705
Name:HALFORD, AMBER (CM-C, BSB, M-HRM)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:HALFORD
Suffix:
Gender:F
Credentials:CM-C, BSB, M-HRM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8489 ROSEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-9138
Mailing Address - Country:US
Mailing Address - Phone:763-355-7233
Mailing Address - Fax:
Practice Address - Street 1:8489 ROSEWOOD CT
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-9138
Practice Address - Country:US
Practice Address - Phone:763-355-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZA2600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherArt, MedicalGroup - Single Specialty