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NPI Code Detail

MEDICARE: NATALIE E HALL PMHNP

MEDICARE: NATALIE E HALL PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024176315VA

General Provider Information

NPI Number : 1235615337
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE E HALL PMHNP
Provider Business Mailing Address
First Line : 8720 LAKE JORDAN LN
Second Line :
City : N DINWIDDIE
State : VA
Zip : 23803-6595
Country : US
Telephone Number : 804-426-4649
Fax Number :
Provider Business Practice Location Address
First Line : 26317 WASHINGTON ST
Second Line :
City : NORTH DINWIDDIE
State : VA
Zip : 23803-2727
Country : US
Telephone Number : 804-524-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2018
Last Update Date : 07/12/2018

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