Doctor Name: | DEBRA L. HALL |
NPI Number: | 1427259662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | HAL1-0429-1173 |
Business Practice Address: | Building 301 Andrews Ave Ft. Rucker, AL - 363625333 |
Business Phone Number: | 3342557755 |
Business Fax Number: | 3342557439 |
Mailing Address: | 111 Oakmont Ln, DOTHAN |
State: | AL |
Postal Code: | 363015939 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 11/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | HAL1-0429-1173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |