Individual
MICHELLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5505 S 900 E STE 240, MURRAY, UT 84117-7210
(801) 783-5011
(801) 746-3734
Mailing address
1688 W 1250 N, PLEASANT GROVE, UT 84062-4011
(801) 885-9950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7661406-4405
UT
363LF0000X
Family Nurse Practitioner
7661406-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EFF 10/13/14
—
UT
01
—
P01448493/DV5339
RAILROAD MEDICARE-EFF 10/13/14
UT
Enumeration date
06/09/2014
Last updated
08/16/2021
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