Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek James Hale

Individual provider Independent Duty Corpsman · NPI 1679034011

Derek James Hale is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

Fc 83 Numi Trout Ave
Groton, CT 06340
Phone: (860) 694-2876
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1679034011
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESMarch 28, 2019
Mailing address445 Burningtree Dr, Groton, CT 06340-3109

Other providers in Groton