| Doctor Name: | TARA D HALL |
| NPI Number: | 1023492212 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP015106 |
| Business Practice Address: | 109 Crossroads Rd Suite 201 Scottdale, PA - 156832458 |
| Business Phone Number: | 7248875989 |
| Business Fax Number: | |
| Mailing Address: | 360 Gimlet Hill Rd, MOUNT PLEASANT |
| State: | PA |
| Postal Code: | 156662256 |
| Phone Number: | 7242447641 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2015 |
| NPI Last Update Date: | 07/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | SP015106 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |