Healthcare Provider Details

I. General information

NPI: 1508095324
Provider Name (Legal Business Name): PATRICIA ANN HALL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2009
Last Update Date: 07/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

956 MONTCLAIR ROAD SUITE 101
BIRMINGHAM AL
35213
US

IV. Provider business mailing address

2868 ACTON ROAD
BIRMINGHAM AL
35243
US

V. Phone/Fax

Practice location:
  • Phone: 205-949-0099
  • Fax:
Mailing address:
  • Phone: 205-968-8360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number1-041789
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: