Doctor Name: | KATIE L HALL |
NPI Number: | 1134589575 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 101.0118772 |
Business Practice Address: | 156 Main St Montpelier, VT - 056022702 |
Business Phone Number: | 8022234738 |
Business Fax Number: | 8022234616 |
Mailing Address: | Po Box 547, Att: Cvmc Finance Dept BARRE |
State: | VT |
Postal Code: | 056410547 |
Phone Number: | 8022234738 |
Fax Number: | 8022234616 |
NPI Enumeration Date: | 02/27/2016 |
NPI Last Update Date: | 03/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 101.0118772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |