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NPI Code Detail

MEDICARE: ANDREA LYNNE HALL PA

MEDICARE:   ANDREA LYNNE HALL  PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1659814085
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA LYNNE HALL PA
Provider Business Mailing Address
First Line : 4092 FOXWOOD DR STE 101
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23462-5225
Country : US
Telephone Number : 757-467-4200
Fax Number :
Provider Business Practice Location Address
First Line : 830 KEMPSVILLE RD
Second Line :
City : NORFOLK
State : VA
Zip : 23502-3920
Country : US
Telephone Number : 757-261-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2016
Last Update Date : 01/04/2026

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Directions to “ ANDREA LYNNE HALL PA” Practice Location

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