MEDICARE: MRS. KRISTINA TURK 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	363LF0000X	Family Nurse Practitioner	AP130433	TX

General Provider Information

NPI Number	:	1912367053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTINA TURK HALL NP

Provider Business Mailing Address
First Line	:	317 N FM 1187
Second Line	:
City	:	ALEDO
State	:	TX
Zip	:	76008-4200
Country	:	US
Telephone Number	:	817-441-7181
Fax Number	:	817-447-4787

Provider Business Practice Location Address
First Line	:	317 N FM 1187
Second Line	:
City	:	ALEDO
State	:	TX
Zip	:	76008-4200
Country	:	US
Telephone Number	:	817-441-7181
Fax Number	:	817-447-4787

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

Provider Enumeration Date	:	03/02/2016
Last Update Date	:	03/02/2016

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