Healthcare Provider Details

I. General information

NPI: 1871604223
Provider Name (Legal Business Name): NOREEN O'BRIEN HALL CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 HOSPITAL AVE
NORTH ADAMS MA
01247-2504
US

IV. Provider business mailing address

71 HOSPITAL AVE
NORTH ADAMS MA
01247-2504
US

V. Phone/Fax

Practice location:
  • Phone: 413-664-5135
  • Fax:
Mailing address:
  • Phone: 413-664-5135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number101-00198001
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11015646
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: