Individual
LISA ANN HAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8911
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23609
SC
363LA2100X
Acute Care Nurse Practitioner
23609
SC
363LA2200X
Adult Health Nurse Practitioner
23609
SC
Other
Enumeration date
02/06/2020
Last updated
08/22/2024
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