# HALL DIABETES MANAGEMENT AND RESOURCE CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hall Diabetes Management and Resource Center PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790300903
- **Authorized official:** MRS. ERICA HALL ANP-BC (OWNER/NURSE PRACTITIONER)
- **Authorized official phone:** (443) 676-5422

## Contact information

- **Practice address:** 1900 E NORTHERN PKWY STE T1, BALTIMORE, MD 21239-2120
- **Practice address phone:** (443) 676-5422
- **Mailing address:** 1900 E NORTHERN PKWY STE T1, BALTIMORE, MD 21239-2120
- **Mailing address phone:** (443) 676-5422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2020
- **Last updated:** 07/23/2020