Individual
TRACIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5004 MORGAN DR, CHARLESTON, WV 25313-2110
(304) 860-5839
Mailing address
5004 MORGAN DR, CHARLESTON, WV 25313-2110
(304) 860-5839
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
106451
WV
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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