Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HALLI DISBROW
DeactivatedHALLI DISBROW is a Physician Assistant healthcare provider located in GRAND RAPIDS, Michigan. NPI 1215510862 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · GRAND RAPIDS, MI
This NPI has been deactivated.
The record was deactivated on November 25, 2024.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1215510862
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 2, 2021 (3.5671232876712 yrs)
- Last Updated
- Mar 13, 2025
- Deactivated
- Nov 25, 2024
Practice Information
- Address
-
3500 LAKE DR SEGRAND RAPIDS, MI, 495464310Browse MI providers · Browse ZIP 49546
- Phone
- 6164757577
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. JACQUELINE S JOHANSON | P.A.-C | 1952304982 |
| RENEE K SALYER | P.A-C | 1760481386 |
| MR. JOHN C HENDRICKS | PA-C | 1992705610 |
| CHERYL ANN SCHMITT | PA-C | 1851391031 |
| LARA ELIZABETH EVANS | PA-C | 1356343933 |
| BENJAMIN P LOYD | PA-C | 1174515167 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.