MEDICARE: CAROLINE HALL FNP-C

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
1	363LF0000X	Family Nurse Practitioner	1010377	TX

General Provider Information

NPI Number	:	1376498584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE HALL FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 22000
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76902-7200
Country	:	US
Telephone Number	:	325-747-2277
Fax Number	:	325-747-2330

Provider Business Practice Location Address
First Line	:	4450 SUNSET DR
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76901-5611
Country	:	US
Telephone Number	:	325-747-2277
Fax Number	:	325-747-2330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ CAROLINE HALL FNP-C” Practice Location

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