Provider Demographics
NPI:1962705020
Name:PAPE, HALLIE MARIE
Entity type:Individual
Prefix:
First Name:HALLIE
Middle Name:MARIE
Last Name:PAPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40501 TAMARACK DR
Mailing Address - Street 2:APT#201
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-2850
Mailing Address - Country:US
Mailing Address - Phone:734-787-2730
Mailing Address - Fax:
Practice Address - Street 1:40501 TAMARACK DR
Practice Address - Street 2:APT#201
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-2850
Practice Address - Country:US
Practice Address - Phone:734-787-2730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula