Healthcare Provider Details

I. General information

NPI: 1275960635
Provider Name (Legal Business Name): CHRISTINE MARIE HALLMAN DNP, APRN,ACHPN,NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10980 GRANTCHESTER WAY
COLUMBIA MD
21044-6097
US

IV. Provider business mailing address

10704 ALTA SIERRA DR
BENBROOK TX
76126-4700
US

V. Phone/Fax

Practice location:
  • Phone: 202-451-6882
  • Fax: 443-537-9913
Mailing address:
  • Phone: 330-321-1848
  • Fax: 443-537-9913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number18021
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number18021
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: