MEDICARE: BOBBI MICHELLE HALL NP

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	363LG0600X	Gerontology Nurse Practitioner	APN.0993449-NP	CO
2	363LF0000X	Family Nurse Practitioner	APN.0993449-NP	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740790708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOBBI MICHELLE HALL NP

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:	970-624-4128
Fax Number	:	970-490-4156

Provider Business Practice Location Address
First Line	:	311 WEST 14TH STREET
Second Line	:
City	:	PUEBLO
State	:	CO
Zip	:	81003
Country	:	US
Telephone Number	:	719-595-7585
Fax Number	:	719-595-7589

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

Provider Enumeration Date	:	10/04/2017
Last Update Date	:	01/21/2026

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