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NPI Code Detail

MEDICARE: NANCY L. HALL RN

MEDICARE:   NANCY L. HALL  RN
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
1163WP0808XPsychiatric/Mental Health Registered NurseR98972SC
2222Q00000XDevelopmental TherapistR98972SC

General Provider Information

NPI Number : 1801999156
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY L. HALL RN
Provider Business Mailing Address
First Line : 119 LAZY DAISY DR
Second Line :
City : BLUFFTON
State : SC
Zip : 29909-5106
Country : US
Telephone Number : 843-338-3147
Fax Number :
Provider Business Practice Location Address
First Line : 2708 NE 14TH ST
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-3565
Country : US
Telephone Number : 888-880-9270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2006
Last Update Date : 03/20/2013

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