Healthcare Provider Details

I. General information

NPI: 1265361984
Provider Name (Legal Business Name): ALISON MCCLAIN HALLBERG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 MILITARY BLVD
DECORAH IA
52101-2451
US

IV. Provider business mailing address

303 W NORTH ST
MONONA IA
52159-7617
US

V. Phone/Fax

Practice location:
  • Phone: 563-387-5840
  • Fax:
Mailing address:
  • Phone: 563-329-1361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number191186
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: