MEDICARE: ERIKA HALL APRN-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN9296866	FL
2	363LA2200X	Adult Health Nurse Practitioner	APRN9296866	FL
3	363LP2300X	Primary Care Nurse Practitioner	APRN9296866	FL

General Provider Information

NPI Number	:	1497093165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA HALL APRN-C

Provider Business Mailing Address
First Line	:	5470 E BUSCH BLVD STE 461
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33617-5418
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5118 N 56TH ST STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-5440
Country	:	US
Telephone Number	:	813-710-9555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2013
Last Update Date	:	03/25/2025

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