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NPI Code Detail

MEDICARE: MRS. RACHEL MATTSON HALL APRN-BC

MEDICARE: MRS. RACHEL MATTSON HALL APRN-BC
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
1363LW0102XWomen's Health Nurse PractitionerAPN0000011950TN

General Provider Information

NPI Number : 1700022597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL MATTSON HALL APRN-BC
Provider Business Mailing Address
First Line : 1362 IVY LN
Second Line :
City : COOKEVILLE
State : TN
Zip : 38501-3057
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1120 SAMS ST
Second Line :
City : COOKEVILLE
State : TN
Zip : 38506-4006
Country : US
Telephone Number : 931-528-7312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2008
Last Update Date : 12/28/2008

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Directions to “ MRS. RACHEL MATTSON HALL APRN-BC” Practice Location

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