Healthcare Provider Details

I. General information

NPI: 1104757269
Provider Name (Legal Business Name): CARA HALL ANDERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARA MCKENNA HALL

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 DUNCAN LN
ARDEN NC
28704-1658
US

IV. Provider business mailing address

22 DUNCAN LN APT 217
ARDEN NC
28704-1667
US

V. Phone/Fax

Practice location:
  • Phone: 828-575-3528
  • Fax:
Mailing address:
  • Phone: 828-575-3528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026055200
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: