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NPI Code Detail

MEDICARE: MRS. MARY LYNN HALL RN

MEDICARE:  MRS. MARY LYNN HALL  RN
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
1163WS0200XSchool Registered Nurse0001059025VA

General Provider Information

NPI Number : 1891201463
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY LYNN HALL RN
Provider Business Mailing Address
First Line : 202 N WASHINGTON AVE
Second Line :
City : PULASKI
State : VA
Zip : 24301-5022
Country : US
Telephone Number : 540-994-2554
Fax Number : 540-994-2560
Provider Business Practice Location Address
First Line : 202 N WASHINGTON AVE
Second Line :
City : PULASKI
State : VA
Zip : 24301-5022
Country : US
Telephone Number : 540-994-2554
Fax Number : 540-994-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2017
Last Update Date : 12/19/2017

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Directions to “ MRS. MARY LYNN HALL RN” Practice Location

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