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NPI Code Detail

MEDICARE: MISS BERNADINE HENLY HALL ARNP

MEDICARE: MISS BERNADINE HENLY HALL ARNP
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
1363L00000XNurse PractitionerARNP1701372FL

General Provider Information

NPI Number : 1780680835
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BERNADINE HENLY HALL ARNP
Provider Business Mailing Address
First Line : 2828 CROASDAILE DR
Second Line :
City : DURHAM
State : NC
Zip : 27705-2505
Country : US
Telephone Number : 877-751-1157
Fax Number : 919-425-1596
Provider Business Practice Location Address
First Line : 1100 NW 95TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33150-2038
Country : US
Telephone Number : 305-835-6191
Fax Number : 305-694-3649
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 04/24/2017

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Directions to “ MISS BERNADINE HENLY HALL ARNP” Practice Location

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