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NPI Code Detail

MEDICARE: PATRICIA HALL APRN

MEDICARE:   PATRICIA  HALL  APRN
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
1363LF0000XFamily Nurse Practitioner3013830KY
2363LF0000XFamily Nurse Practitioner004783CT

General Provider Information

NPI Number : 1770864746
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA HALL APRN
Provider Business Mailing Address
First Line : 256 N MAIN ST
Second Line :
City : MANCHESTER
State : CT
Zip : 06042-2004
Country : US
Telephone Number : 860-696-2300
Fax Number : 860-645-3216
Provider Business Practice Location Address
First Line : 245 FOUNTAIN CT FL 1
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2792
Country : US
Telephone Number : 859-218-2626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 07/11/2022

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Directions to “ PATRICIA HALL APRN” Practice Location

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