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NPI Code Detail

MEDICARE: KATHLEEN NEVIN HALL

MEDICARE: KATHLEEN NEVIN HALL
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
1163WG0600XGerontology Registered NurseRN.1631576CO
2363LA2200XAdult Health Nurse PractitionerAPN.0991813-NPCO
3363LG0600XGerontology Nurse PractitionerAPN.0991813-NPCO
4363LP2300XPrimary Care Nurse PractitionerAPN.0991813-NPCO

General Provider Information

NPI Number : 1730739996
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN NEVIN HALL
Provider Business Mailing Address
First Line : 2472 PATTERSON RD UNIT 5
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81505-1100
Country : US
Telephone Number : 970-628-0068
Fax Number : 970-628-0068
Provider Business Practice Location Address
First Line : 2472 PATTERSON RD UNIT 5
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81505-1100
Country : US
Telephone Number : 970-628-0068
Fax Number : 970-628-0068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2019
Last Update Date : 09/18/2019

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Directions to “ KATHLEEN NEVIN HALL ” Practice Location

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