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NPI Code Detail

MEDICARE: MRS. ERICA LYNN HALL CRNP

MEDICARE: MRS. ERICA LYNN HALL CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerR162867MD

General Provider Information

NPI Number : 1154571362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERICA LYNN HALL CRNP
Provider Business Mailing Address
First Line : 1900 E NORTHERN PKWY STE T1
Second Line :
City : BALTIMORE
State : MD
Zip : 21239-2120
Country : US
Telephone Number : 667-260-2826
Fax Number : 443-552-1464
Provider Business Practice Location Address
First Line : 1900 E NORTHERN PKWY STE T1
Second Line :
City : BALTIMORE
State : MD
Zip : 21239-2120
Country : US
Telephone Number : 667-260-2826
Fax Number : 443-552-1464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2008
Last Update Date : 10/19/2023

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Directions to “ MRS. ERICA LYNN HALL CRNP” Practice Location

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