| Doctor Name: | MRS. MICHELLE HALL |
| NPI Number: | 1053662247 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP012273 |
| Business Practice Address: | 9625 Frankford Ave Phila, PA - 191142846 |
| Business Phone Number: | 2673483383 |
| Business Fax Number: | 2156246260 |
| Mailing Address: | 9625 Frankford Ave, PHILA |
| State: | PA |
| Postal Code: | 191142846 |
| Phone Number: | 2156379400 |
| Fax Number: | 2156246260 |
| NPI Enumeration Date: | 09/27/2012 |
| NPI Last Update Date: | 09/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | SP012273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |