| Doctor Name: | MICHELLE HALL |
| NPI Number: | 1053724856 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 7661406-4405 |
| Business Practice Address: | 1409 S State St Orem, UT - 840977703 |
| Business Phone Number: | 8016562022 |
| Business Fax Number: | 8777317209 |
| Mailing Address: | 200 Oceangate, Suite 100 LONG BEACH |
| State: | CA |
| Postal Code: | 908024317 |
| Phone Number: | 5624996191 |
| Fax Number: | 8777317209 |
| NPI Enumeration Date: | 06/09/2014 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 7661406-4405 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |