Individual
DR. DWAYNE ALANSIER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 735-7421
Mailing address
239 LEWIS ST APT 2, BRIDGEPORT, CT 06605-1241
(203) 997-1756
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0111887
CT
363LF0000X
Family Nurse Practitioner
011187
CT
Other
Enumeration date
11/03/2022
Last updated
01/10/2023
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